Individual
MRS. JACQUELINE SEPTIMO ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC, CCRN
Contact information
Practice address
234 E 149TH ST # 9A, BRONX, NY 10451-5504
(718) 579-4803
Mailing address
80 LAKEVIEW AVE, HARTSDALE, NY 10530-2514
(347) 836-1956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432065
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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