Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lanissa Danielle Odor, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1083056386

Mrs. Lanissa Danielle Odor, FNP-BC is a Nurse Practitioner in Horn Lake, Mississippi. Qualified in 2013, 13 years ago. Practices with Sandk Medical, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
13
Licensed in
MS, TN
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2085 Goodman Rd W Ste 50
Horn Lake, MS 38637-1416
Phone: (662) 253-8459
Fax: (662) 253-8678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A810645 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 17722 (TN)

Record details

NPI number1083056386
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 27, 2013
Last updated in NPPESDecember 30, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sandk Medical,Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Horn Lake