| Jaclyn Mackenzie Little, FNP | |
|
3333 W Tech Rd, Miamisburg, OH 45342-0955 | |
| (937) 641-5725 | |
| (937) 350-3050 |
| Full Name | Jaclyn Mackenzie Little |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3333 W Tech Rd, Miamisburg, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386425445 | NPI | - | NPPES |
| 0033460 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0035150 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of Ohio Llc | 2961425608 | 192 |
| Entity Name | Minuteclinic Diagnostic of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
| Entity Name | Community Care Health Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20181221001967 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Entity Name | Minuteclinic Primary Care Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285441766 PECOS PAC ID: 6305345513 Enrollment ID: O20250815001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Mackenzie Little, FNP Po Box 933421, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Jaclyn Mackenzie Little, FNP 3333 W Tech Rd, Miamisburg, OH 45342-0955 Ph: (937) 641-5725 |
Mallory Michelle Michna, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2960 Ferndown Dr, Miamisburg, OH 45342 Phone: 937-886-5510 Fax: 937-813-2637 |
Heather Anne Duehren, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 |
Natalie Michelle Jones, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3300 W Tech Blvd, Miamisburg, OH 45342 Phone: 937-641-3000 |
Sandra L Kimball, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Byers Rd, Suite 300, Miamisburg, OH 45342 Phone: 937-866-2494 Fax: 937-866-8494 |
Mr. Seth T Kidwell, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-4000 Fax: 937-641-6492 |
Sarah E Jacobs, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 |
Ms. Javona Alexander, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Waterstone Blvd Apt 205, Miamisburg, OH 45342 Phone: 937-270-3405 |