Individual
JACQUELYN HENSLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 BILLINGSLEY RD STE 105, CHARLOTTE, NC 28211-1084
(704) 384-4098
(704) 384-4173
Mailing address
PO BOX 601529, CHARLOTTE, NC 28260-1529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010122
NC
Other
Enumeration date
12/19/2017
Last updated
10/26/2020
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