Individual provider · Type 1 NPI

Jennifer J. Odom, PA

Medical Physician Assistant · Melbourne, FL

NPI number 1538501879 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3224

Call (321) 434-1771 Map

Fax (321) 434-1775

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9106958 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1538501879

Jennifer J. Odom, PA's National Provider Identifier is 1538501879, issued on Jul 29, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Melbourne, FL. The record was last updated on Jul 21, 2022.