Little, Jenna Marie

Little, Jenna Marie is an individual health care provider with primary practice located at 500 Chase Pkwy Suite 2B, Waterbury CT 06708-3346. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Little, Jenna Marie can be contacted via phone (203) 755-6677.

Contact Information

Primary practice address
500 Chase Pkwy Suite 2B Waterbury CT 06708-3346
Phone: (203) 755-6677
Fax: (203) 755-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.002600 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002600 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003290 Connecticut

Profile Details

NPI number 1245424829
LBN Legal business name Little, Jenna Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Sep 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245424829 NPPES
Connecticut Other 003290 CONNECTICUT LICENSE

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