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NPI Code Detail

MEDICARE: JACQUELYN MARIE ROY

MEDICARE:   JACQUELYN MARIE ROY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704399380MI

General Provider Information

NPI Number : 1811854862
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN MARIE ROY
Provider Business Mailing Address
First Line : 605 E BEAVER RD
Second Line :
City : KAWKAWLIN
State : MI
Zip : 48631-9701
Country : US
Telephone Number : 989-545-8249
Fax Number :
Provider Business Practice Location Address
First Line : 3254 E MIDLAND RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2835
Country : US
Telephone Number : 989-686-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ JACQUELYN MARIE ROY ” Practice Location

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