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Tracy Odom
Nurse Practitioner in Florala, Alabama
NPI 1104332527

Tracy Odom is a Nurse Practitioner based in Florala, AL. Tracy Odom practices in Florala, AL. The NPI Number for Tracy Odom is 1104332527 and holds a License No. 1-111973 (Alabama).

The current practice location address for Tracy Odom is 24245 5Th Ave, Florala, AL and can be reached out via phone at 334-574-0208 and via fax at 334-574-0212.

Location: 24245 5Th Ave, Florala, AL, 36442-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104332527
Provider Name
Tracy Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
24245 5Th Ave, Florala, AL, 36442-3523
Phone Number
334-574-0208
Fax Number
334-574-0212
Provider Enumeration Date
12/21/2017
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305045 05 AL
institution
Provider Business Practice Location Address Details
Address
24245 5Th Ave
City
Florala
State
Alabama
Zip
36442-3523
Phone Number
334-574-0208
Fax Number
334-574-0212
person
Provider Business Mailing Address Details
Address
24245 5Th Ave
City
Florala
State
Alabama
Zip
36442-3523
Phone Number
334-574-0208
Fax Number
334-574-0212
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1-111973 (Alabama)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
364SF0001X
License No.
1-111973 (Alabama)
Definition
Definition to come...
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