MEDICARE: LOIS LITTLE NP

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
1	363LF0000X	Family Nurse Practitioner	NP260289	GA

General Provider Information

NPI Number	:	1417842451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS LITTLE NP

Provider Business Mailing Address
First Line	:	3455 PEACHTREE INDUSTRIAL BLVD STE 910
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-6502
Country	:	US
Telephone Number	:	678-744-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	1546 DANSFIELD TRL
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-5650
Country	:	US
Telephone Number	:	404-337-8724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	02/05/2026

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