Jacqueline Canilao, PMHNP Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ

NPI

1194532119

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

26NJ15228900 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-12-12

Last updated

2025-02-05