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Mrs. Kelli Gwyn Little, NP
Family Nurse Practitioner in Chattanooga, Tennessee
NPI 1952671182

Kelli Gwyn Little is a Family Nurse Practitioner based in Chattanooga, TN and is specialized in Family. Kelli Gwyn Little practices in Chattanooga, TN and has the professional credentials of NP. The NPI Number for Kelli Gwyn Little is 1952671182 and holds a License No. 0000106383 (Tennessee).

The current practice location address for Kelli Gwyn Little is 6130 Shallowford Rd, Chattanooga, TN and can be reached out via phone at 423-664-4635 and via fax at 423-664-4640.

Location: 6130 Shallowford Rd, Chattanooga, TN, 37421-7222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952671182
Provider Name
Kelli Gwyn Little
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6130 Shallowford Rd, Chattanooga, TN, 37421-7222
Phone Number
423-664-4635
Fax Number
423-664-4640
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952671182 01 TN NPI
institution
Provider Business Practice Location Address Details
Address
6130 Shallowford Rd
City
Chattanooga
State
Tennessee
Zip
37421-7222
Phone Number
423-664-4635
Fax Number
423-664-4640
person
Provider Business Mailing Address Details
Address
6130 Shallowford Rd
City
Chattanooga
State
Tennessee
Zip
37421-7222
Phone Number
423-664-4635
Fax Number
423-664-4640
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
16667 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0000106383 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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