Rita Margaret Odom, NP | |
1400 Braden St, Jacksonville, AR 72076-3721 | |
(800) 893-9698 | |
Not Available |
Full Name | Rita Margaret Odom |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 1400 Braden St, Jacksonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134367022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | P00175 (Arkansas) | Primary |
Entity Name | Neuroscience Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255397337 PECOS PAC ID: 3577550680 Enrollment ID: O20040429001073 |
Mailing Address | Practice Location Address |
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Rita Margaret Odom, NP 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Rita Margaret Odom, NP 1400 Braden St, Jacksonville, AR 72076-3721 Ph: (800) 893-9698 |
Ashley Marie Randall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Chigger Valley Rd, Jacksonville, AR 72076 Phone: 501-650-2041 | |
Destiny Yvonne Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 Puritan Dr, Jacksonville, AR 72076 Phone: 501-313-8119 | |
Whitney Reed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951 | |
Ashley Renee Poppy, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Braden St, Jacksonville, AR 72076 Phone: 501-985-2537 | |
Sue Sullivan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041 | |
Dr. Cesalie Deonne Wallace, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 North First Street, Jacksonville, AR 72076 Phone: 501-982-7477 |