Individual
JENNIFER NICOLE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 N MACARTHUR BLVD, IRVING, TX 75039-2422
(480) 621-0472
Mailing address
6800 N MACARTHUR BLVD, IRVING, TX 75039-2422
(972) 969-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9589231
FL
163W00000X
Registered Nurse
977003
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
152878
TX
367500000X
Certified Registered Nurse Anesthetist
16845-33
WI
367500000X
Certified Registered Nurse Anesthetist
222742
OK
Other
Enumeration date
02/03/2025
Last updated
06/13/2025
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