NPI 1083056386

Lanissa Danielle Odor, FNPBC

Practitioner Family Nurse Practitioner Horn Lake, MS

Practice location

Address: 2085 Goodman Rd W Suite 50, Horn Lake, MS 38637-1416
Phone: (662) 253-8459
Fax: (662) 253-8678

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence A810645 (MS)

Other Nurse Practitioner providers in Mississippi →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 17722 (TN)

Registry record

NPI: 1083056386
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2013
Record last updated: 30 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.