JHAELYN ALENZIA ODOM N.P. NPI 1104210194

NPI Information

NPI: 1104210194
Provider Name: JHAELYN ALENZIA ODOM, N.P.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: PIEDMONT PROVIDERS LLC

PECOS Registration: Yes

Address:
5925 SAN JUAN DR
BATON ROUGE, LA
ZIP 70811
Phone: (225) 931-2594
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Jhaelyn Alenzia Odom, N.P. is a women's health nurse practitioner in Baton Rouge, LA with 11 years of experience. Jhaelyn Alenzia Odom, N.P. NPI is 1104210194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5925 SAN JUAN DR
BATON ROUGE, LA
ZIP 70811-128
Phone: (225) 931-2594

The NPI 1104210194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2015 and was last updated on 12/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN133392	LOUISIANA	No
2	163W00000X	Registered Nurse		RN95062945	CALIFORNIA	No
3	363L00000X	Nurse Practitioner		95002527	CALIFORNIA	No
4	363LW0102X	Nurse Practitioner	Women's Health	AP08578	LOUISIANA	Yes
5	363LW0102X	Nurse Practitioner	Women's Health	RN221177	GEORGIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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