Individual
MELISSA M MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPN, RN
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
597 OLD MOUNT HOLLY RD STE 300, GOOSE CREEK, SC 29445-2832
(843) 501-1099
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
21718
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21718
SC
Other
Enumeration date
08/12/2009
Last updated
06/30/2023
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