Individual provider · Type 1 NPI
Jacqueline Suzanne Roman
Primary Care Nurse Practitioner · Boston, MA
NPI number
1659925907
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN2293968 (MA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | AG06190202 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1659925907
Jacqueline Suzanne Roman's National Provider Identifier is 1659925907, issued on Jul 25, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boston, MA. The record was last updated on Jan 31, 2024.