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Individual

LAURA JILL LITTLEJOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4778 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 646-6331
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71004066A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001469975
ANTHEM PTAN
IN
01
1102498269
ANTHEM PTAN
IN
05
201081190
IN
Enumeration date
05/09/2012
Last updated
02/13/2025
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