Jennifer C Little

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2809942 Issued in FL

Practice address

23471 Flora Parke Blvd
Fernandina Beach, FL 32034-8172

Phone

(904) 321-6332

Fax

(904) 321-6332

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1164940904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23471 FLORA PARKE BLVD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348172",
            "telephone_number": "904-321-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23471 FLORA PARKE BLVD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348172",
            "telephone_number": "904-321-6332",
            "fax_number": "904-321-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2809942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Lichten, PHD, RDN
• Life Line Home Care Inc
• Chel Ho Lim
• Kevin Lin, D.C.
• Sherry Sue Linback, ARNP
• Alex Llarena, MD
• Susan W Llarena, P.A.-C.
• Jacob T Logsdon, PA
• Joseph A Lonzetta Jr., DO
• Julie Lopresti

• Family Nurse Practitioner in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.