Individual
JACQUELYNE BROWN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
616 HIGHWAY 82 W, INDIANOLA, MS 38751-2035
(662) 635-8680
Mailing address
1716 HIGHWAY 442, DODDSVILLE, MS 38736-9730
(662) 588-7075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903207
MS
Other
Enumeration date
02/27/2019
Last updated
05/12/2023
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