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JENNIFER J ODOM PA
NPI 1538501879
Physician Assistant - Medical in Melbourne, FL

Active since July 29, 2013
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 30, 2017 (2 updates tracked since 2017).

About Jennifer J Odom Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER J ODOM PA (NPI 1538501879) is an individual medical provider in Melbourne, Florida, licensed in Florida (PA9106958) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1538501879
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER J ODOMCredential: PA
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-1771 · Fax (321) 434-1775
Phone(321) 434-1771
Fax(321) 434-1775
Sole ProprietorNo
Enumeration DateJuly 29, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1538501879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106958
1350 HICKORY ST, Melbourne, FL 32901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225
MARIA DEL C MARTINEZ M.D.
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Odom's NPI number?

The NPI number for Jennifer Odom is 1538501879. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Jennifer Odom located?

Jennifer Odom practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-1771.

What is Jennifer Odom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Odom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.