Female

Jennifer J. Odom PA

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Jennifer J Odom PA

NPI Number

1538501879

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/29/2013

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9106958

Contact
Information

Purpose

Mailing
Location

Address

3300 S FISKE BLVD
1350 HICKORY ST

City

Rockledge
Melbourne

State

FL
FL

Postal Code

32955-4306
32901-3224

Country

US
US

Telephone Number

(321) 434-1771
(321) 434-1771

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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