NPI 1306467519

Charisse Davis

Practitioner Driver Waynesville, MO

Practice location

Address: 510 Main St, Waynesville, MO 65583-2031
Phone: (573) 889-7203

Registered specialties (4)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence W105050002 (MO)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence 134186B (MO)

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence 134186B (MO)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 134186B (MO)

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Registry record

NPI: 1306467519
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2020
Record last updated: 28 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.