Charis Healthcare of Missouri LLC

NPI #1265394431 in Kennett, Missouri

Provider Information

NPI Number: 1265394431
Entity Type: Organization
Organization Name: Charis Healthcare of Missouri LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 26, 2025
Last Updated: Nov 26, 2025

Practice Location

Address: 1815 KATELYN ST
City: Kennett
State: Missouri
ZIP Code: 63857-4112
Phone: (870) 489-8633

Authorized Official

Name: TIFFANY MOORE, NP
Title: OWNER
Phone: (870) 489-8633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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