MRS. JENNA MARIE LITTLE PA-C NPI 1245424829

NPI Information

NPI: 1245424829
Provider Name: MRS. JENNA MARIE LITTLE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: FOX CHASE PAIN MANAGEMENT ASSOCIATES PC

PECOS Registration: Yes

Address:
500 CHASE PKWY
SUITE 2B
WATERBURY, CT
ZIP 06708
Phone: (203) 755-6677
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MRS. Jenna Marie Little, PA-C is a surgical physician assistant in Waterbury, CT with 21 years of experience. MRS. Jenna Marie Little, PA-C NPI is 1245424829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 CHASE PKWY
SUITE 2B
WATERBURY, CT
ZIP 06708-346
Phone: (203) 755-6677
Fax: (203) 755-7166

The NPI 1245424829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 9/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		50.002600	OHIO	No
2	363AS0400X	Physician Assistant	Surgical	50.002600	OHIO	No
3	363AS0400X	Physician Assistant	Surgical	003290	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D400225976	MEDICARE PIN	CONNECTICUT
2	003290	OTHER	CONNECTICUT	CONNECTICUT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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