Jacqueline Roseboro, AGCNS-BC - Clinical Nurse Specialist in Charlotte, NC

Jacqueline Roseboro, AGCNS-BC is a Clinical Nurse Specialist - Adult Health based in Charlotte, North Carolina. Jacqueline Roseboro is licensed to practice in North Carolina (license number 2015005693) and her current practice location is 10511 Atkins Ridge Dr, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 473-6455.

NPI number for Jacqueline Roseboro is 1922559244 and her current mailing address is 10511 Atkins Ridge Dr, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922559244.

Contact Information

Jacqueline Roseboro, AGCNS-BC
10511 Atkins Ridge Dr,
Charlotte, NC 28213-4296
(704) 473-6455
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Roseboro
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location10511 Atkins Ridge Dr, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922559244
  • Provider Enumeration Date: 10/21/2016
  • Last Update Date: 11/20/2016

Medical Identifiers

Medical identifiers for Jacqueline Roseboro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922559244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 185443 (North Carolina)Secondary
364SA2200XClinical Nurse Specialist - Adult Health 2015005693 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Roseboro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Roseboro, AGCNS-BC
10511 Atkins Ridge Dr,
Charlotte, NC 28213-4296

Ph: (704) 473-6455
Jacqueline Roseboro, AGCNS-BC
10511 Atkins Ridge Dr,
Charlotte, NC 28213-4296

Ph: (704) 473-6455

Reviews and Comments


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