Provider Demographics
NPI:1326203886
Name:LITTLE, MARCY MICHELLE (NP-C, RN)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:MICHELLE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:NP-C, RN
Other - Prefix:
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Mailing Address - Street 1:1100 ENGLAND DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0924
Mailing Address - Country:US
Mailing Address - Phone:931-528-7531
Mailing Address - Fax:931-520-0413
Practice Address - Street 1:701 COUNTY SERVICES DR
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4338
Practice Address - Country:US
Practice Address - Phone:931-528-2531
Practice Address - Fax:931-526-7541
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2014-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNRN0000160870163W00000X
TN13617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse