Individual
JASON C LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0021
(219) 852-1524
(219) 933-2288
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013764
IL
363L00000X
Nurse Practitioner
Primary
71004522A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201188480
—
IN
Enumeration date
07/19/2013
Last updated
04/18/2025
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