Provider Demographics
NPI:1912146242
Name:ROYER, JENNNIFER
Entity Type:Individual
Prefix:
First Name:JENNNIFER
Middle Name:
Last Name:ROYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16VALENCIAHEIGHTS
Mailing Address - Street 2:PO BOX 30262
Mailing Address - City:GRAND CAYMAN
Mailing Address - State:GRAND CAYMAN
Mailing Address - Zip Code:KY11202
Mailing Address - Country:KY
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:439 CREWE RD
Practice Address - Street 2:
Practice Address - City:GRAND CAYMAN
Practice Address - State:CAYMAN ISLANDS
Practice Address - Zip Code:KY11202
Practice Address - Country:KY
Practice Address - Phone:345-947-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZCPAM/PL/C-PRAC/01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor