Individual
MR. DEREK MICHAEL LITTLEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
9245 N. MERIDIAN STREET SUITE 300, INDIANAPOLIS, IN 46260
(317) 818-9000
(317) 818-9009
Mailing address
9245 N. MERIDIAN STREET SUITE 300, INDIANAPOLIS, IN 46260
(317) 818-9000
(317) 818-9009
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
28220461A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012926A
IN
Other
Enumeration date
09/07/2021
Last updated
01/24/2023
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