Individual
CATHERINE RE'NAE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC, FNP
Contact information
Practice address
13500 SUTTON PARK DRIVE SOUTH, SUITE 403, JACKSONVILLE, FL 32224-5291
(904) 493-3390
(904) 493-3395
Mailing address
13500 SUTTON PARK DRIVE SOUTH, SUITE 403, JACKSONVILLE, FL 32224-5291
(904) 493-3390
(904) 493-3395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9190635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45681
MEDICARE - GROUP
FL
01
—
GW733Y
MEDICARE - INDIVIDUAL
FL
01
—
Y0FX6
FLORIDA BLUE
FL
Enumeration date
12/20/2012
Last updated
04/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us