Odum, Sharon Lynne

Odum, Sharon Lynne is an individual health care provider with primary practice located at 2700 Robert T Longway Blvd Ste A , Flint MI 48503-2190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odum, Sharon Lynne can be contacted via phone (810) 659-5695.

Contact Information

Primary practice address
2700 Robert T Longway Blvd Ste A Flint MI 48503-2190
Phone: (810) 659-5695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704147932 Michigan

Profile Details

NPI number 1164415949
LBN Legal business name Odum, Sharon Lynne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Feb 10th, 2020 - about 4 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 1164415949 NPPES
Michigan MEDICAID 4872048

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