Individual
DONNA J ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
4615 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-4034
(772) 334-1985
Mailing address
PO BOX 73, JENSEN BEACH, FL 34958-0073
(772) 334-1985
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
80696-2
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y4241
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/16/2007
Last updated
09/16/2007
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