Odom, Dianna
Odom, Dianna is an individual health care provider with primary practice located at 2933 Lakewood Village Dr , North Little Rock AR 72116-8033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Odom, Dianna can be contacted via phone (501) 435-1417.Contact Information
Primary practice address
2933 Lakewood Village Dr
North Little Rock AR 72116-8033
Phone: (501) 435-1417
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Arkansas |
Profile Details
| NPI number | 1104417021 |
|---|---|
| LBN Legal business name | Odom, Dianna |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | Jul 2nd, 2024 - about 2 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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