Individual
MS. JACQUELINE TURNER ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-1900
(864) 560-1925
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
08103
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
17565
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2545768
—
OH
Enumeration date
08/10/2006
Last updated
07/10/2025
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