Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAQUANA ODOM
Active Sole ProprietorJAQUANA ODOM is a General Practice Nurse healthcare provider located in SYRACUSE, New York. NPI 1164269569 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · SYRACUSE, NY
Registration Details
- NPI Number
- 1164269569
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2024 (2.1148464860155 yrs)
- Last Updated
- Jul 11, 2024
- License
-
881153 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
213 WOLCOTT AVESYRACUSE, NY, 132071124Browse NY providers · Browse ZIP 13207
- Phone
- 3156642143
- Primary Specialty
-
General Practice Nurse
163WG0000X
Other General Practice Nurse Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. IELLAN SCOTT RICE | RN | 1164596854 |
| MS. COLLEEN MCHALE | NP | 1346428760 |
| MS. MICHELLE RUTH BAKER | R.N. | 1477729937 |
| MR. MATTHEW SALVATERRA | R.N. | 1588907729 |
| MRS. LORNA BAROK | RN | 1235532722 |
| KEIRUKA NWUGWO | — | 1740725191 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.