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

Mavis Oduro

Individual provider Family Nurse Practitioner · NPI 1366271868

Mavis Oduro is a Nurse Practitioner in Murfreesboro, Tennessee. Qualified in 2024, 2 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1029 N Highland Ave
Murfreesboro, TN 37130-2450
Phone: (615) 809-2433
Fax: (615) 443-9978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 38274 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 250155 (TN)

Record details

NPI number1366271868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address3024 Business Park Cir, Goodlettsville, TN 37072-3132

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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