Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Septimo Roldan, MSN, AGACNP-BC, CCRN

Individual provider Acute Care Nurse Practitioner · NPI 1801611777

Mrs. Jacqueline Septimo Roldan, MSN, AGACNP-BC, CCRN is a Nurse Practitioner in Bronx, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2024
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

234 E 149th St # 9A
Bronx, NY 10451-5504
Phone: (718) 579-4803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432065 (NY)

Record details

NPI number1801611777
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGACNP-BC , CCRN
Sole proprietorNo
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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