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NPI Code Detail

MEDICARE: JODY ROY LPN

MEDICARE: JODY ROY LPN
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
1164W00000XLicensed Practical Nurse018723-22NH

General Provider Information

NPI Number : 1922964733
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY ROY LPN
Provider Business Mailing Address
First Line : 53 NEWBURY ST
Second Line :
City : NASHUA
State : NH
Zip : 03060-4089
Country : US
Telephone Number : 978-944-6145
Fax Number :
Provider Business Practice Location Address
First Line : 14 INGALLS CT
Second Line :
City : METHUEN
State : MA
Zip : 01844-3717
Country : US
Telephone Number : 978-686-2807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2025
Last Update Date : 12/25/2025

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Directions to “ JODY ROY LPN” Practice Location

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