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Organization
CHARIS HEALTH & WELLNESS
Active
Organization
CHARIS HEALTH & WELLNESS
Active
Parent organization
KANISHER CALDWELL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KANISHER CALDWELL, LLC
Authorized official
MRS. KANISHER MONIQUE CALDWELL APRN (APRN/OWNER)
(870) 692-3157
Entity
Organization
Contact information
Practice address
7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
(870) 718-5013
Mailing address
7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
(870) 692-3157
(870) 247-4294
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2019
Last updated
07/08/2022
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