Individual
JENNIFER P LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7857
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5468
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6512
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
07/02/2012
Last updated
12/18/2023
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