Keyauna Marie Littlejohn, FNP-BC
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
NPI number1144836628
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1144836628
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Keyauna Marie Littlejohn
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2020
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1013977 | TX | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 977409 | TX |
Practice location
4055 Valley View LnDallas, TX 75244-5074
Phone 785-506-7669
Mailing address
4055 Valley View LnDallas, TX 75244-5074
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