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JACQUELYN ROBERTS MSN, APRN, FNP-C,
NPI 1790379972
Nurse Practitioner in Medford, MA

Active since February 27, 2021
11 SALEM ST STE 15, MEDFORD, MA 02155(617) 299-0440 Get Directions Write a Review

NPPES record last updated: February 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Roberts Msn, Aprn, Fnp-c, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN ROBERTS MSN, APRN, FNP-C, (NPI 1790379972) is an individual nurse practitioner in Medford, Massachusetts, licensed in Massachusetts (RN2310867) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1790379972
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELYN ROBERTSCredential: MSN, APRN, FNP-C,
Location Address11 SALEM ST STE 15Medford, MA 02155-3262
Mailing Address39 Mitchell AveMedford, MA 02155-1736 · (978) 808-4757
Phone(617) 299-0440
Sole ProprietorYes
Enumeration DateFebruary 27, 2021
NPPES CertifiedFebruary 27, 2021
✔ NPI 1790379972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2310867
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11 SALEM ST STE 15, Medford, MA 02155
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELINE INC
Home Health
11 SALEM ST STE 15
MEDFORD, MA 02155
Middlesex County (240) 386-7621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Roberts's NPI number?

The NPI number for Jacquelyn Roberts is 1790379972. It was assigned to this individual provider in the NPPES registry on February 27, 2021.

Where is Jacquelyn Roberts located?

Jacquelyn Roberts practices at 11 Salem St Ste 15, Medford, MA 02155. The listed phone number is (617) 299-0440.

What is Jacquelyn Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Roberts was last updated on February 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.