Individual provider · Type 1 NPI

Charissa Faith Holesko, ANP

Nurse Practitioner · O Fallon, IL

NPI number 1619343274 Active

Practice location

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281

Fax (618) 607-5116

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209035756 (IL)
Gerontology Nurse Practitioner 363LG0600X2015038009 (MO)

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 1619343274

Charissa Faith Holesko, ANP's National Provider Identifier is 1619343274, issued on Aug 18, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in O Fallon, IL. The record was last updated on Jul 23, 2026.