Odum, Jacqueline

Odum, Jacqueline is an individual health care provider with primary practice located at 2314 Auburn Ave , Cincinnati OH 45219-2802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Odum, Jacqueline can be contacted via phone (513) 287-6484.

Contact Information

Primary practice address
2314 Auburn Ave Cincinnati OH 45219-2802
Phone: (513) 287-6484
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 08103 Ohio

Profile Details

NPI number 1407867989
LBN Legal business name Odum, Jacqueline
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407867989 NPPES
Ohio MEDICAID 2545768

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