MRS. Lanissa Danielle Odor, FNP-BC
NPI #1083056386 in Horn Lake, Mississippi
Provider Information
- NPI Number
- 1083056386
- Entity Type
- Individual
- Name
- MRS. Lanissa Danielle Odor, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Jul 27, 2013
- Last Updated
- Dec 30, 2015
Practice Location
- Address
- 2085 GOODMAN RD W
- Address 2
- SUITE 50
- City
- Horn Lake
- State
- Mississippi
- ZIP Code
- 38637-1416
- Phone
- (662) 253-8459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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