Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Charis Healthcare of Missouri LLC

Organization Nurse Practitioner · NPI 1265394431

Charis Healthcare of Missouri LLC provides Nurse Practitioner services in Kennett, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1815 Katelyn St
Kennett, MO 63857-4112
Phone: (870) 489-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1265394431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Moore — Owner · (870) 489-8633
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address1815 Katelyn St, Kennett, MO 63857-4112

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