Individual provider · Type 1 NPI

Jenna Marie Little, PA-C

Surgical Physician Assistant · Waterbury, CT

NPI number 1245424829 Active

Practice location

500 Chase Pkwy, Suite 2B
Waterbury, CT 06708-3346

Call (203) 755-6677 Map

Fax (203) 755-7166

Mailing address

1300 Horizon Dr, Ste 101
Chalfont, PA 18914-3970

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X50.002600 (OH)
Physician Assistant 363A00000X50.002600 (OH)
Surgical Physician Assistant Primary 363AS0400X003290 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1245424829

Jenna Marie Little, PA-C's National Provider Identifier is 1245424829, issued on Aug 28, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Sep 1, 2017.