Individual
HOLLY KAYLENE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5909 U S HIGHWAY 49 STE 20, HATTIESBURG, MS 39402-2860
(601) 296-2800
(601) 296-2802
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2800
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903803
MS
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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