Individual
MS. MICHELE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 262-2250
Mailing address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 262-2250
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9240388
FL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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