Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Mackenzie Little

Individual provider Family Nurse Practitioner · NPI 1386425445

Jaclyn Mackenzie Little is a Nurse Practitioner in Dayton, Ohio. Qualified in 2023, 3 years ago. Practices with Minuteclinic Diagnostic of Ohio LLC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

5981 Far Hills Ave
Dayton, OH 45429-2211
Phone: (937) 438-5954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 McDaniels Ln, Springboro, OH 45066-8550 — (937) 546-1546

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0035150 (OH)

Record details

NPI number1386425445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 18, 2023
Mailing address5981 Far Hills Ave, Dayton, OH 45429-2211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Diagnostic Of Ohio Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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