Individual
JACKIE C LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28 JOLAMA DR, NEWPORT NEWS, VA 23602-4945
(757) 232-1118
Mailing address
28 JOLAMA DRIVE, NEWPORT NEWS, VA 23602
(757) 232-1118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002091770
VA
Other
Enumeration date
05/28/2017
Last updated
07/21/2022
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