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NPI Code Detail

MEDICARE: JENNIFER MARIE LITTLEFIELD FNP-BC

MEDICARE:   JENNIFER MARIE LITTLEFIELD  FNP-BC
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
1207Q00000XFamily Medicine Physician4704198958MI

General Provider Information

NPI Number : 1770835670
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARIE LITTLEFIELD FNP-BC
Provider Business Mailing Address
First Line : 10223 E CHERRY BEND RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-7304
Country : US
Telephone Number : 231-929-7933
Fax Number : 231-929-7934
Provider Business Practice Location Address
First Line : 10223 E CHERRY BEND RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-7304
Country : US
Telephone Number : 231-929-7933
Fax Number : 231-929-7934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2012
Last Update Date : 10/03/2012

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Directions to “ JENNIFER MARIE LITTLEFIELD FNP-BC” Practice Location

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