Individual
MRS. JORDYNN LYNN ODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326
(607) 547-3456
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785556
NY
164W00000X
Licensed Practical Nurse
329689
NY
363L00000X
Nurse Practitioner
Primary
356987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
I DONT HAVE ONE
—
Enumeration date
08/23/2017
Last updated
08/19/2025
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