Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Kaylene Odom, FNP

Individual provider Nurse Practitioner · NPI 1790392850

Holly Kaylene Odom, FNP is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2018, 8 years ago. Practices with Covington County Hospital, a 43-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5909 U S Highway 49 Ste 20
Hattiesburg, MS 39402-2860
Phone: (601) 296-2800
Fax: (601) 296-2802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903803 (MS)

Record details

NPI number1790392850
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Covington County Hospital — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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