NPI | 1962826669 |
---|---|
Former Name | ANN MCCAIN ODOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000027311) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 198446) |
Enumeration Date | 2014-02-15 |
Last Update Date | 2022-03-16 |