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Individual

REBECCA LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R886604
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09030843
MS
Enumeration date
09/09/2014
Last updated
02/08/2018
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