| Doctor Name: | JENNIFER L ROYE |
| NPI Number: | 1104021351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 640512 |
| Business Practice Address: | 6316 Precinct Line Rd Hurst, TX - 760542766 |
| Business Phone Number: | 8176052504 |
| Business Fax Number: | 8176052505 |
| Mailing Address: | 801 7th Ave, Revenue Management FORT WORTH |
| State: | TX |
| Postal Code: | 761042733 |
| Phone Number: | 6828854157 |
| Fax Number: | 6828851903 |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 08/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 640512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |