Individual
MRS. STEPHANIE R LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2863 HIGHWY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 422-0410
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2578
TN
Other
Enumeration date
08/04/2014
Last updated
10/25/2023
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