Individual
MICHELLE D LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8600 STATE ROUTE 91 STE 130, PEORIA, IL 61615-7829
(309) 683-5050
Mailing address
111 N 6TH ST STE G1, PEKIN, IL 61554-3320
(309) 810-4407
(309) 354-2041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-014813
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277004174
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
377003868
IL
Other
Enumeration date
09/07/2016
Last updated
05/21/2026
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