Provider Demographics
NPI:1194115048
Name:LITTLEJOHN, KELLI M (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:KELLI
Middle Name:M
Last Name:LITTLEJOHN
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44061-0660
Mailing Address - Country:US
Mailing Address - Phone:440-516-3776
Mailing Address - Fax:440-516-3783
Practice Address - Street 1:23333 HARVARD RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6232
Practice Address - Country:US
Practice Address - Phone:440-566-0170
Practice Address - Fax:440-585-4041
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033525363L00000X
OH390024163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse