NPI 1104417021

Dianna Odom, PAC

Practitioner Physician Assistant North Little Rock, AR

Practice location

Address: 2933 Lakewood Village Dr, North Little Rock, AR 72116-8033
Phone: (501) 435-1417
Mailing address: 9 Mohawk Cir, Little Rock, AR 72207-2515

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1104417021
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2021
Record last updated: 2 Jul 2024

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.