Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Suzanne Roman

Individual provider Nurse Practitioner · NPI 1659925907

Jacqueline Suzanne Roman is a Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AG06190202 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2293968 (MA)

Record details

NPI number1659925907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address55 Fruit St, Boston, MA 02114-2621

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