Organization
PURPOSEFUL PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA DENA' LITTLE PNP (OWNER)
(336) 608-7411
Entity
Organization
Contact information
Practice address
2509A LEWISVILLE CLEMMONS RD # 1004, CLEMMONS, NC 27012-8712
(336) 608-7411
Mailing address
376 HOLLINSWOOD AVE, WINSTON SALEM, NC 27103-6245
(336) 608-7411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285876714
—
NC
Enumeration date
08/03/2023
Last updated
01/12/2024
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