Individual
VANESSA L ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1817 W MORRIS BLVD, MORRISTOWN, TN 37813-2837
(423) 581-3904
(423) 581-6120
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
24979
TN
Other
Enumeration date
09/21/2018
Last updated
11/13/2018
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