Doctor Name: | JENNY LITTRELL |
NPI Number: | 1013316025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP5326 |
Business Practice Address: | 3686 S Rome St Gilbert, AZ - 852977341 |
Business Phone Number: | 4808907705 |
Business Fax Number: | 4803988095 |
Mailing Address: | Po Box 6423, CHANDLER |
State: | AZ |
Postal Code: | 852466423 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/14/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | AP5326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |