Individual
EMILEE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117
(501) 975-7456
(501) 978-1822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-716
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218864795
—
AR
Enumeration date
06/08/2016
Last updated
05/06/2025
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