JACQUELINE CANILAO PMHNP NPI 1194532119

NPI Information

  • NPI: 1194532119
  • Provider Name: JACQUELINE CANILAO, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 141 ROUTE 70 E STE B
    MARLTON, NJ
    ZIP 08053
  • Phone: (856) 596-9057

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NPI Details

Jacqueline Canilao, PMHNP is a psychiatric/mental health nurse practitioner in Marlton, NJ with 2 years of experience. Jacqueline Canilao, PMHNP NPI is 1194532119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141 ROUTE 70 E STE B
MARLTON, NJ
ZIP 08053-855
Phone: (856) 596-9057
Fax: (856) 596-0837

The NPI 1194532119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2024 and was last updated on 2/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health26NR15228900NEW JERSEYNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ15228900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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