Individual provider · Type 1 NPI
Jhaelyn Alenzia Odom, N.P.
Women's Health Nurse Practitioner · Atlanta, GA
NPI number
1104210194
Active
Practice location
2891 Lakewood Ave SW
Atlanta, GA 30315-5803
Fax (678) 390-9775
Mailing address
5925 San Juan Dr
Baton Rouge, LA 70811-4128
Other practice locations
- 5925 San Juan Dr, Baton Rouge, LA 70811-4128 · (225) 931-2594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | RN221177 (GA) |
| Registered Nurse | 163W00000X | RN133392 (LA) |
| Nurse Practitioner | 363L00000X | 95002527 (CA) |
| Women's Health Nurse Practitioner | 363LW0102X | AP08578 (LA) |
| Registered Nurse | 163W00000X | RN95062945 (CA) |
Women's Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104210194
Jhaelyn Alenzia Odom, N.P.'s National Provider Identifier is 1104210194, issued on Mar 27, 2015. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Atlanta, GA. The record was last updated on Jul 15, 2024.