Provider Demographics
NPI:1255675666
Name:ROMAN, JESSICA CHRISTINA (MSN, FNP-C, ARNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CHRISTINA
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MSN, FNP-C, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 KANE CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2105
Mailing Address - Country:US
Mailing Address - Phone:305-868-5181
Mailing Address - Fax:718-832-0220
Practice Address - Street 1:1069 KANE CONCOURSE
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2105
Practice Address - Country:US
Practice Address - Phone:305-868-5181
Practice Address - Fax:305-868-8292
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY651571163W00000X
NY337679363LP2300X
FLARNP9296242363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse