Doctor Name: | MRS. RACHEL ELLEN LITTERER |
NPI Number: | 1740500214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R876287 |
Business Practice Address: | 3040 Goodman Rd W Horn Lake, MS - 386371189 |
Business Phone Number: | 6622303420 |
Business Fax Number: | |
Mailing Address: | 11273 Highway 61 N, ROBINSONVILLE |
State: | MS |
Postal Code: | 386649705 |
Phone Number: | 6623633224 |
Fax Number: | 6623633234 |
NPI Enumeration Date: | 06/08/2010 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R876287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |