Dana Odom

Primary Care Nurse Practitioner · Crestview, FL

Individual Active NPI

NPI number 1942758446

Practice location

131 E Redstone Ave Ste 107
Crestview, FL 32539-5355
Phone
(850) 682-6320
Fax
(850) 682-6339

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NPI record

NPI
1942758446
Entity type
Individual (Type 1)
Enumeration date
September 14, 2016
Last updated
October 7, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Primary Care Nurse Practitioner Primary 363LP2300X ARNP9310065 FL

About Dana Odom

Dana Odom is a healthcare provider registered in the NPI registry with the primary taxonomy Primary Care Nurse Practitioner (code 363LP2300X). The practice location is 131 E Redstone Ave Ste 107, Crestview, FL 32539-5355. The NPI number 1942758446 was assigned on September 14, 2016 and the record was last updated on October 7, 2016.

Dana Odom lists a license in the registry: #ARNP9310065 (FL) for Primary Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dana Odom?

The NPI number is 1942758446.

What is the phone number of Dana Odom?

The phone number listed for the practice location is (850) 682-6320.

Where is Dana Odom located?

131 E Redstone Ave Ste 107, Crestview, FL 32539-5355.

What is the taxonomy code for Dana Odom?

The primary taxonomy code is 363LP2300X – Primary Care Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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