Individual
JEFFREY MICHAEL ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1871 EVELYN BYRD AVE, HARRISONBURG, VA 22801-3487
(540) 564-5800
(833) 552-3026
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5800
(833) 552-3026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006641
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700350410
—
VA
Enumeration date
01/15/2019
Last updated
04/11/2019
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