| Doctor Name: | MRS. SHIRLENE D ROYAL |
| NPI Number: | 1154545077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,FNP-C |
| License Number: | RN077506 |
| Business Practice Address: | 357 Cargile Rd Ocilla, GA - 317743606 |
| Business Phone Number: | 2294680636 |
| Business Fax Number: | 2294683312 |
| Mailing Address: | 710 N Irwin Ave, OCILLA |
| State: | GA |
| Postal Code: | 317745011 |
| Phone Number: | 2294683800 |
| Fax Number: | 2294689991 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 06/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN077506 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |