Individual
DANE'CHA CHISOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 OLD TROLLEY RD STE 201, SUMMERVILLE, SC 29485-5608
(843) 929-9529
Mailing address
402 OLD TROLLEY RD STE 201, SUMMERVILLE, SC 29485-5608
(843) 929-9529
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
245852
SC
163WC1500X
Community Health Registered Nurse
245852
SC
163WC1600X
Continuing Education/Staff Development Registered Nurse
245852
SC
163WC2100X
Continence Care Registered Nurse
245852
SC
163WG0000X
General Practice Registered Nurse
245852
SC
163WH0200X
Home Health Registered Nurse
Primary
245852
SC
163WM0705X
Medical-Surgical Registered Nurse
245852
SC
251E00000X
Home Health Agency
245852
SC
253Z00000X
In Home Supportive Care Agency
245852
SC
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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