Reilly, Jennifer Connelly

Reilly, Jennifer Connelly is an individual health care provider with primary practice located at 5875 Bremo Rd Ste 701 , Richmond VA 23226-1928. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Reilly, Jennifer Connelly can be contacted via phone (804) 523-2533.

Contact Information

Primary practice address
5875 Bremo Rd Ste 701 Richmond VA 23226-1928
Phone: (804) 523-2533
Fax: (804) 523-2534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 0024168547 Virginia

Profile Details

NPI number 1821327024
LBN Legal business name Reilly, Jennifer Connelly
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2009
Last updated Jul 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821327024 NPPES
Virginia MEDICAID VVP882A

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