Individual provider · Type 1 NPI

Nicole E. Odom, NP-C

Nurse Practitioner · Royal Oak, MI

NPI number 1578074647 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 898-0633 Map

Fax (248) 898-3393

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704296896 (MI)

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 1578074647

Nicole E. Odom, NP-C's National Provider Identifier is 1578074647, issued on Oct 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Royal Oak, MI. The record was last updated on Jan 25, 2021.