Jennifer Odle, FNP | |
20414 N 27th Ave Fl 4, Phoenix, AZ 85027-3250 | |
(866) 217-0220 | |
Not Available |
Full Name | Jennifer Odle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 20414 N 27th Ave Fl 4, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952828956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP11185 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Star Clinic, Llc | 3274894407 | 5 |
Entity Name | 4c Medical Group Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558654384 PECOS PAC ID: 2769653641 Enrollment ID: O20110926000641 |
Entity Name | Star Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932608106 PECOS PAC ID: 3274894407 Enrollment ID: O20180302000669 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Odle, FNP 20414 N 27th Ave Fl 4, Phoenix, AZ 85027-3250 Ph: (866) 217-0220 | Jennifer Odle, FNP 20414 N 27th Ave Fl 4, Phoenix, AZ 85027-3250 Ph: (866) 217-0220 |
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