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Sandra Elaine Odom
Nurse Practitioner in Perryville, Arkansas
NPI 1669933370

Sandra Elaine Odom is a Nurse Practitioner based in Perryville, AR. Sandra Elaine Odom practices in Perryville, AR. The NPI Number for Sandra Elaine Odom is 1669933370 and holds a License No. A006138 (Arkansas).

The current practice location address for Sandra Elaine Odom is 1016 N Fourche Ave, Perryville, AR and can be reached out via phone at 501-238-1284. You can also correspond with Sandra Elaine Odom through the mailing address at 1016 N FOURCHE AVE, PERRYVILLE, AR - 72126-8545 (mailing address contact number: 501-238-1284).

Location: 1016 N Fourche Ave, Perryville, AR, 72126-8545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669933370
Provider Name
Sandra Elaine Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1016 N Fourche Ave, Perryville, AR, 72126-8545
Phone Number
501-238-1284
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1016 N Fourche Ave
City
Perryville
State
Arkansas
Zip
72126-8545
Phone Number
501-238-1284
Fax Number
person
Provider Business Mailing Address Details
Address
1016 N Fourche Ave
City
Perryville
State
Arkansas
Zip
72126-8545
Phone Number
501-238-1284
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
A006138 (Arkansas)
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
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A006138 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
A006138 (Arkansas)
Definition
Definition to come...
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