Individual provider · Type 1 NPI
Jaquana Odom
General Practice Registered Nurse · Syracuse, NY
NPI number
1164269569
Active
Practice location
213 Wolcott Ave
Syracuse, NY 13207-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 881153 (NY) |
General Practice Registered Nurse: Definition to come...
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About NPI 1164269569
Jaquana Odom's National Provider Identifier is 1164269569, issued on Jul 11, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 11, 2024.