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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821327024 | NPPES |
Virginia | MEDICAID | VVP882A |
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