IndividualActive
Jacqueline Odum, CNP
NPI 1407867989 · Women's Health Nurse Practitioner · Spartanburg, SC
Provider details
- NPI number
- 1407867989
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 08103 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 E Wood St
Spartanburg, SC 29303-3040
Phone: (864) 560-1900
Fax: (864) 560-1925
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 743070
Atlanta, GA 30374-3070
Additional practice locations (1)
- 2314 Auburn AveCincinnati, OH 45219-2802Phone: (513) 287-6484
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.