Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MITCHELL GRAY ODOM, NP
Active Sole ProprietorMR. MITCHELL GRAY ODOM, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ANNAPOLIS, Maryland. NPI 1699909283 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ANNAPOLIS, MD
Registration Details
- NPI Number
- 1699909283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2009 (17.22160640587 yrs)
- Last Updated
- Mar 9, 2017
- Licenses
-
5004355 (NC)AC001965 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 MEDICAL PKWYANNAPOLIS, MD, 214013773Browse MD providers · Browse ZIP 21401
- Phone
- 4434811000
- Fax
- 4434816515
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in ANNAPOLIS, MD
| Name | Credential | NPI |
|---|---|---|
| VENRICE MELICA KERR | PMHNP-BC, CRNP-F | 1659517753 |
| MR. ROBERT ALLEN-EMERSON | PMHNP | 1659688141 |
| VICTORIA KENNEDY TYSON | CRNP-PMH | 1285941641 |
| TAMIA ROLLINS-MUSGRAVE | FNP-C, PMHNP-BC | 1881962322 |
| JENNIFER L WILHELM | — | 1427320100 |
| DR. OLUWATOYIN MARY OTTUN | DNP, FNP-C, PMHNP-BC | 1790171296 |
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.