Individual
DIANA DICKSON LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CFNP
Contact information
Practice address
1500 E.WOODROW WILSON, G.V. 'SONNY' MONTGOMERY MEDICAL CENTER, JACKSON, MS 39216
(601) 362-4471
(601) 364-1327
Mailing address
1018 GERRITS LNDG, BRANDON, MS 39047-7755
(601) 362-4471
(601) 364-1327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R516252
MS
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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