Emmie Odham, APRN
Nurse Practitioner, Family in Tallahassee, FL. Individual provider (NPI-1).
NPI number1316625635
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1316625635
- Entity type
- Individual (NPI-1)
- Name
- Emmie Odham
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2023
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11029927 | FL | Yes |
| 163WE0003X | Registered Nurse, Emergency | RN9494566 | FL |
Practice location
616 Universal DrTallahassee, FL 32303-4787
Phone 850-385-7047
Mailing address
3209 Earl DrTallahassee, FL 32309-3660
Phone 850-491-0313
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