# CHARIS HEALTH & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KANISHER CALDWELL, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457814501
- **Legal business name:** KANISHER CALDWELL, LLC
- **Authorized official:** MRS. KANISHER MONIQUE CALDWELL APRN (APRN/OWNER)
- **Authorized official phone:** (870) 692-3157

## Contact information

- **Practice address:** 7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
- **Practice address phone:** (870) 718-5013
- **Mailing address:** 7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
- **Mailing address phone:** (870) 692-3157
- **Mailing address fax:** (870) 247-4294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2019
- **Last updated:** 07/08/2022