Individual provider · Type 1 NPI

Tracy Odom, CRNP

Nurse Practitioner · Opp, AL

NPI number 1104332527 Active

Practice location

101 E Paulk Ave Ste A
Opp, AL 36467-1727

Fax (334) 493-0355

Mailing address

PO Box 342
Florala, AL 36442-0342

Other practice locations

  • 24245 5th Ave, Florala, AL 36442-3523 · (334) 809-8049

Specialties and licenses

TaxonomyCodeLicense
Family Health Clinical Nurse Specialist 364SF0001X1-111973 (AL)
Nurse Practitioner Primary 363L00000X1-111973 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104332527

Tracy Odom, CRNP's National Provider Identifier is 1104332527, issued on Dec 21, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Opp, AL. The record was last updated on Apr 4, 2025.