Individual provider · Type 1 NPI
Summer Lorraine Odom, FNP-C
Family Nurse Practitioner · De Soto, GA
NPI number
1437605300
Active
Practice location
140 Gray Moss Rd
De Soto, GA 31743-2218
Mailing address
2701 Meredyth Dr
Albany, GA 31707-2267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN204070 (GA) |
Family Nurse Practitioner: Definition to come...
About NPI 1437605300
Summer Lorraine Odom, FNP-C's National Provider Identifier is 1437605300, issued on Aug 30, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in De Soto, GA. The record was last updated on Sep 8, 2016.