Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charis Healthcare of Missouri LLC

Organization Nurse Practitioner · NPI 1265394431

Charis Healthcare of Missouri LLC is a Nurse Practitioner 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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