Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edelquinne Ann Jacildo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639893274

Edelquinne Ann Jacildo is a Nurse Practitioner in Marlton, New Jersey. Qualified in 2022, 4 years ago. Practices with New Age Behavioral PC, a 4-clinician group and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

106 Centre Blvd Ste G
Marlton, NJ 08053-4131
Phone: (856) 797-2810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01373900 (NJ)

Record details

NPI number1639893274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New Age Behavioral Pc — 4 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Marlton