JACQUELINE ROSEBORO AGCNS-BC
NPI 1922559244
Clinical Nurse Specialist - Adult Health in Charlotte, NC

Q: What is Jacqueline Roseboro's NPI number?

The NPI number for Jacqueline Roseboro is 1922559244. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Q: What is Jacqueline Roseboro's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Active since October 21, 2016

10511 ATKINS RIDGE DR, CHARLOTTE, NC 28213(704) 473-6455 Get Directions Write a Review

NPPES record last updated: November 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2016, Oct 21, 2016 (2 updates tracked since 2016).

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About Jacqueline Roseboro Agcns-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ROSEBORO AGCNS-BC (NPI 1922559244) is an individual adult health provider in Charlotte, North Carolina, licensed in North Carolina (2015005693) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1922559244

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameJACQUELINE ROSEBOROCredential: AGCNS-BC

Location Address10511 ATKINS RIDGE DRCharlotte, NC 28213-4296

Mailing Address10511 Atkins Ridge DrCharlotte, NC 28213-4296 · (704) 473-6455

Phone(704) 473-6455

Sole ProprietorYes

Enumeration DateOctober 21, 2016

Last NPPES UpdateNovember 20, 20162 updates tracked since enumeration

✔ NPI 1922559244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in NC · 2015005693

Also ListedRegistered NurseTaxonomy 163W00000X · License 185443 (NC)

10511 ATKINS RIDGE DR, Charlotte, NC 28213

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENU RESPITE, LLC

Respite Care

10511 ATKINS RIDGE DR
CHARLOTTE, NC 28213

Mecklenburg County (704) 473-6455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Roseboro's NPI number?

The NPI number for Jacqueline Roseboro is 1922559244. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Where is Jacqueline Roseboro located?

Jacqueline Roseboro practices at 10511 Atkins Ridge Dr, Charlotte, NC 28213. The listed phone number is (704) 473-6455.

What is Jacqueline Roseboro's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Roseboro was last updated on November 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.