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Contact Information

CHARIS HEALTH AND WELLNESS CLINIC, LLC
7500 DOLLARWAY RD STE 403
WHITE HALL, AR71602
 Phone: 870-247-4525
 Fax: 870-247-4294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHARIS HEALTH AND WELLNESS CLINIC LLC · (Female)

NPI # 1457814501
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2019
Last updated 07/08/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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