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NPI Code Detail

MEDICARE: JAHAIRA ROMAN PMHNP

MEDICARE: JAHAIRA ROMAN PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP033599PA

General Provider Information

NPI Number : 1013878651
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAHAIRA ROMAN PMHNP
Provider Business Mailing Address
First Line : 1619 E MOYAMENSING AVE APT 112
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-1350
Country : US
Telephone Number : 267-930-7881
Fax Number :
Provider Business Practice Location Address
First Line : 1500 CHESTNUT ST STE 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2700
Country : US
Telephone Number : 856-475-8362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2025
Last Update Date : 01/20/2026

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Directions to “ JAHAIRA ROMAN PMHNP” Practice Location

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