Jaquana Odom
Jaquana Odom is a General Practice Registered Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
213 Wolcott AveSyracuse, NY 13207-1124
Phone: (315) 664-2143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Registered Nurse (primary) | Taxonomy 163WG0000X · Licence 881153 (NY) |
|---|
Record details
| NPI number | 1164269569 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2024 |
| Last updated in NPPES | July 11, 2024 |
| Certification date | July 11, 2024 |
| Mailing address | 213 Wolcott Ave, Syracuse, NY 13207-1124 |
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