Individual
JENNIFER SUSAN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1101 MARKET ST, PHILADELPHIA, PA 19107-2934
(215) 503-4722
Mailing address
649 S HENDERSON RD APT D410, KING OF PRUSSIA, PA 19406-3548
(484) 431-7014
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025738
PA
Other
Enumeration date
05/19/2022
Last updated
06/08/2022
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