| Doctor Name: | DR. JESSICA M LITTLE |
| NPI Number: | 1093093254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 00380 |
| Business Practice Address: | 1029 Medical Center Cir Mayfield, KY - 420661189 |
| Business Phone Number: | 2702514590 |
| Business Fax Number: | 2702514591 |
| Mailing Address: | 1029 Medical Center Cir, MAYFIELD |
| State: | KY |
| Postal Code: | 420661189 |
| Phone Number: | 2702514590 |
| Fax Number: | 2702514591 |
| NPI Enumeration Date: | 07/21/2011 |
| NPI Last Update Date: | 07/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 00380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |