Individual
JACQUELINE LITTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, RN-BSN
Contact information
Practice address
8900 W 135TH ST, OVERLAND PARK, KS 66221-2040
(913) 323-8865
Mailing address
8900 W 135TH ST, OVERLAND PARK, KS 66221-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01211177
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131925
KANSAS NURSING LICENSE
KS
01
—
2016033329
MISSOURI NURSING LICENSE
MO
Enumeration date
01/29/2021
Last updated
11/27/2021
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