Healthcare Provider Details

I. General information

NPI: 1316720105
Provider Name (Legal Business Name): ROYAL NURSING & TRAINING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2086 JODECO RD # 1055
MCDONOUGH GA
30253-5220
US

IV. Provider business mailing address

2086 JODECO RD # 1055
MCDONOUGH GA
30253-5220
US

V. Phone/Fax

Practice location:
  • Phone: 678-831-6380
  • Fax: 845-302-8638
Mailing address:
  • Phone: 678-831-6380
  • Fax: 845-302-8638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. BERNARD A ROYAL
Title or Position: FNP-C/ OWNER
Credential: MSN, APRN
Phone: 678-831-6380