Individual
JENNIFER CAROL LITTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3005 E STATE BLVD, FORT WAYNE, IN 46805-4736
(260) 267-9498
(260) 739-3618
Mailing address
2324 BLUEWATER TRL, FORT WAYNE, IN 46804-8403
(230) 432-7507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006191A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71006191A
IN
363LP2300X
Primary Care Nurse Practitioner
28137871A
IN
Other
Enumeration date
10/28/2015
Last updated
12/16/2025
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