Individual
MR. JASON DOUGLAS ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
501 OLDE WATERFORD WAY, LELAND, NC 28451-4117
(910) 408-1130
(910) 408-1135
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P006418
NC
163WF0300X
Flight Registered Nurse
242594
NC
363L00000X
Nurse Practitioner
Primary
5014072
NC
363LF0000X
Family Nurse Practitioner
5014072
NC
Other
Enumeration date
02/11/2021
Last updated
01/02/2026
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