Individual
CANDYCE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, 4TH FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7170
(662) 377-2423
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
875019
MS
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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