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Individual

JHAELYN ALENZIA ODOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2891 LAKEWOOD AVE SW, ATLANTA, GA 30315-5803
(678) 927-9996
(678) 390-9775
Mailing address
5925 SAN JUAN DR, BATON ROUGE, LA 70811-4128
(225) 931-2594

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN133392
LA
163W00000X
Registered Nurse
RN95062945
CA
363L00000X
Nurse Practitioner
95002527
CA
363LW0102X
Women's Health Nurse Practitioner
AP08578
LA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN221177
GA

Other

Enumeration date
03/27/2015
Last updated
07/15/2024
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