Individual provider · NPI-1

Jackie C Littlejohn, LPN

Licensed Practical Nurse · Newport News, VA

NPI number1790213205
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1790213205
Entity type
Individual (NPI-1)
Name
Jackie C Littlejohn
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse0002091770VAYes

Practice location

28 Jolama Dr
Newport News, VA 23602-4945

Phone 757-232-1118

Mailing address

28 Jolama Drive
Newport News, VA 23602

Phone 757-232-1118

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