Individual
MR. JEFFERY M LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5708
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
290.010181
IL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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