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

Jacqueline Canilao, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194532119

Jacqueline Canilao, PMHNP is a Nurse Practitioner in Marlton, New Jersey. Qualified in 2024, 2 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

141 Route 70 E Ste B
Marlton, NJ 08053-1855
Phone: (856) 596-9057
Fax: (856) 596-0837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 209 Deerpark Ct, Marlton, NJ 08053-2008 — (856) 278-1527
  • 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 — (856) 235-4656
  • 239 Hurffville Crosskeys Rd Ste 450, Sewell, NJ 08080-4009 — (856) 341-8390

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15228900 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NR15228900 (NJ)

Record details

NPI number1194532119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedDecember 12, 2024
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 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 Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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