Individual
JESSICA ROYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(541) 974-7571
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(541) 974-7571
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309949
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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