Individual provider · Type 1 NPI
Holly Kaylene Odom, FNP
Nurse Practitioner · Hattiesburg, MS
Practice location
5909 U S Highway 49 Ste 20
Hattiesburg, MS 39402-2860
Fax (601) 296-2802
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 903803 (MS) |
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…
2 other providers at this address
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About NPI 1790392850
Holly Kaylene Odom, FNP's National Provider Identifier is 1790392850, issued on Sep 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 23, 2020.