Individual
MARLENE KING CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16 OAK GROVE ST UNIT 8, MOUNT HOLLY, NC 28120-1655
(980) 437-4109
(888) 830-7437
Mailing address
905 CASSIDY DR, GASTONIA, NC 28054-4306
(704) 460-5292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
380369
NC
163WH0200X
Home Health Registered Nurse
380369
NC
251E00000X
Home Health Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
NC
Other
Enumeration date
06/30/2025
Last updated
01/14/2026
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