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

Jacqueline Anne Reilley, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1093688731

Jacqueline Anne Reilley, AGNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Suburban Geriatric's, Inc, a 100-clinician group. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4162 Apple St
Philadelphia, PA 19127-1620
Phone: (267) 421-8276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP031312 (PA)

Record details

NPI number1093688731
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Suburban Geriatric'S, Inc. — 100 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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