Individual
JENNIFER SUE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
703 CANTON ST, CONWAY, SC 29526-9579
(603) 682-4152
Mailing address
703 CANTON ST, CONWAY, SC 29526-9579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28811
SC
Other
Enumeration date
03/06/2024
Last updated
04/16/2025
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