NPI 1497426035

Jenica Ann Little

Practitioner Independent Duty Corpsman Milwaukee, WI

Practice location

Address: 2420 S Lincoln Memorial Dr, Milwaukee, WI 53207-1902
Phone: (414) 747-7110

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1497426035
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2021
Record last updated: 23 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.