| Doctor Name: | SUSAN F ROY |
| NPI Number: | 1194864124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1-098539 |
| Business Practice Address: | 1310 N Center St Lonoke, AR - 720862011 |
| Business Phone Number: | 5016760181 |
| Business Fax Number: | 5016760351 |
| Mailing Address: | 117 S 2nd St, AUGUSTA |
| State: | AR |
| Postal Code: | 720062309 |
| Phone Number: | 8703472534 |
| Fax Number: | 8703473492 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-098539 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |