Individual
JACQUELINE ROSEBORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
10511 ATKINS RIDGE DR, CHARLOTTE, NC 28213-4296
(704) 473-6455
Mailing address
10511 ATKINS RIDGE DR, CHARLOTTE, NC 28213-4296
(704) 473-6455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185443
NC
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2015005693
NC
Other
Enumeration date
10/21/2016
Last updated
11/20/2016
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