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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER B LITTLEDIKE, PA-C

Active Sole Proprietor

JENNIFER B LITTLEDIKE, PA-C is a Medical Physician Assistant healthcare provider located in STANSBURY PARK, Utah. NPI 1063729481 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · STANSBURY PARK, UT

Registration Details

NPI Number
1063729481
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2010 (15.979504994351 yrs)
Last Updated
Sep 7, 2010
Sole Proprietor
Yes

Practice Information

Address
210 MILLPOND
STANSBURY PARK, UT, 840748187
Browse UT providers · Browse ZIP 84074
Phone
4358433647
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.