Individual
JEANMARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
15720 BRIXHAM HILL AVE STE 300, CHARLOTTE, NC 28277-4784
(800) 465-3203
Mailing address
6056 CHARING PL, CHARLOTTE, NC 28211-4323
(704) 517-6634
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
175884
NC
363L00000X
Nurse Practitioner
Primary
5004323
NC
364S00000X
Clinical Nurse Specialist
175884
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
175884
NC
Other
Enumeration date
04/29/2008
Last updated
07/16/2024
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