Organization · Type 2 NPI

Charis Healthcare of Missouri LLC

Nurse Practitioner · Kennett, MO

NPI number 1265394431 Active

Practice location

1815 Katelyn St
Kennett, MO 63857-4112

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265394431

Charis Healthcare of Missouri LLC's National Provider Identifier is 1265394431, issued on Nov 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kennett, MO. The record was last updated on Nov 26, 2025.