Individual provider · Type 1 NPI

Katie Odom, NP

Nurse Practitioner · Farmington, MO

NPI number 1194462010 Active

Practice location

1106 Hazel Ln
Farmington, MO 63640-1999

Call (573) 756-6751 Map

Fax (573) 760-8044

Mailing address

PO Box 957683
St. Louis, MO 63195-9099

Other practice locations

255 Boderman, Bloomsdale, MO 63627-9099 · (573) 483-9492

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2022009496 (MO)

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…

21 other providers at this address

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About NPI 1194462010

Katie Odom, NP's National Provider Identifier is 1194462010, issued on May 13, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, MO. The record was last updated on Sep 18, 2025.