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NPI Code Detail

MEDICARE: JENNIFER BARRETT LITTLE N.P.

MEDICARE: JENNIFER BARRETT LITTLE N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner901839MS
2363LF0000XFamily Nurse PractitionerAPN0000022253TN

General Provider Information

NPI Number : 1366982704
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BARRETT LITTLE N.P.
Provider Business Mailing Address
First Line : 1365 WEST BRIERBROOK ROAD
Second Line :
City : GERMANTOWN
State : TN- TENNESSEE
Zip : 38138
Country : UM
Telephone Number : 901-624-6517
Fax Number : 901-624-6521
Provider Business Practice Location Address
First Line : 146 TIMBER CREEK DR
Second Line : SUITE 200
City : CORDOVA
State : TN
Zip : 38018-4395
Country : US
Telephone Number : 901-751-4112
Fax Number : 901-751-9878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2017
Last Update Date : 06/19/2017

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