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

Charis Healthcare of Missouri LLC

Organization Family Nurse Practitioner · NPI 1669349213

Charis Healthcare of Missouri LLC is a Family 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

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1669349213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Moore — Owner · (870) 489-8633
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address1815 Katelyn St, Kennett, MO 63857-4112

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