Individual
JANELLE ODREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4114 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-2662
(931) 455-2674
Mailing address
PO BOX 1327, TULLAHOMA, TN 37388-1327
(931) 455-2674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6551
TN
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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