IndividualActive
Jaquana Odom
NPI 1164269569 · General Practice Registered Nurse · Syracuse, NY
Jaquana Odom is a General Practice Registered Nurse provider in Syracuse, NY (NPI 1164269569).
Provider details
- NPI number
- 1164269569
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 881153 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 Wolcott Ave
Syracuse, NY 13207-1124
Phone: (315) 664-2143
Street-level locationGet directions
Mailing address
213 Wolcott Ave
Syracuse, NY 13207-1124
Registry dates
- Enumerated
- 2024-07-11
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Frequently asked questions
- What is Jaquana Odom's NPI number?
- Jaquana Odom's National Provider Identifier (NPI) is 1164269569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaquana Odom's specialty?
- Jaquana Odom is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse (Nursing Service Providers).
- Where is Jaquana Odom located?
- Jaquana Odom's practice location on file with NPPES is 213 Wolcott Ave, Syracuse, NY 13207-1124.
- What is Jaquana Odom's phone number?
- The practice phone number listed in the NPPES registry for Jaquana Odom is (315) 664-2143.
- Is Jaquana Odom's NPI active?
- Yes — Jaquana Odom's NPI (1164269569) is active in the NPPES registry as of the last update on 2024-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.