Individual
JENNIFER LEIGH LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 BRUNSWICK AVE, SUITE 200, CHARLOTTE, NC 28207-2809
(170) 431-6502
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5025
(704) 316-5022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001005694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001005694
NORTH CAROLINA MEDICAL BOARD PHYSICIAN ASSISTANT LICENSE NUMBER
NC
Enumeration date
04/15/2015
Last updated
07/10/2023
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