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Individual
ROYCEANNE FAIRCHILD ODOM
Active
Individual
ROYCEANNE FAIRCHILD ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
903599
MS
363LF0000X
Family Nurse Practitioner
0000853-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
903599
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02779360
—
MS
Enumeration date
09/05/2017
Last updated
02/25/2026
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