Individual
JAILENE ANGELICA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
47 CONGRESS ST, SALEM, MA 01970-7308
(978) 825-1175
Mailing address
27 CONGRESS ST STE 513, SALEM, MA 01970-5523
(978) 825-1175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2351266
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2351266
MA
Other
Enumeration date
01/10/2022
Last updated
12/05/2023
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