MRS. ROXIAN H ODOM


Address: 201 N College St Ste 105, Brandon, MS 39042-4439
Phone: 6018256010

MRS. ROXIAN H ODOM (NPI# 1922652049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922652049
Entity Type Individual
Full Name MRS. ROXIAN H ODOM
Credential PMHNP-BC
Practice Address 201 N College St Ste 105
Brandon
MS 39042-4439
Mailing Address 110 Turkey Holw
Terry
MS 39170-9104
Practice Telephone 6018256010
Mailing Telephone 6016186000
Enumeration Date 2019-07-26
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
903462 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 07230211 05

Office Location

Street Address 201 N COLLEGE ST STE 105
City BRANDON
State MS
Zip Code 39042-4439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902446800 Cassandra Moore Nurse Practitioner 201 N College St Ste 105, Brandon, MS 39042-4439 2020-01-09
1962050310 Mindfull, P. A. Nurse Practitioner 201 N College St Ste 105, Brandon, MS 39042-4439 2019-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740821529 Claudia Francis Jones Technician 1008 Greenfield Circle, Brandon, MS 39042 2019-10-03
1194294546 Allen Keith Johnson Jr. Counselor 1700 West Government Street Building B. Suite O., Brandon, MS 39042 2018-11-15
1689167462 Regional Home Care and Infusions, Inc. Registered Nurse 302 Town Square, Suite 110, Brandon, MS 39042 2018-06-07
1013419563 Brandon Family Chiropractic LLC Chiropractor 1350 West Government Street Suite A1, Brandon, MS 39042 2018-03-01
1184146789 Lakeland Home Program LLC Clinic/Center 209 Mar Lyn Dr, Brandon, MS 39042 2017-07-14
1104275510 Matthew Logue Community Health Worker 2009 Mossy Cove, Brandon, MS 39042 2016-06-07
1932569704 Haley Wilson Chiropractor 1350 W Government St Ste A1, Brandon, MS 39042 2016-03-07
1548698608 St Dominic Medical Associates LLC Family Medicine 1297 West Government Street, Brandon, MS 39042 2013-10-28
1760825434 Linda J. Bridges Respiratory Therapist, Certified 330 Rankin Road, Brandon, UNITED STATES 39042 2013-04-12
1861739922 Georgia Christine Shirley Nurse Practitioner 2008 Brookstone Place, Brandon, MS 39042 2013-01-09
Find all providers in zip 39042

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699386656 Megan Elizabeth Bogart Nurse Practitioner 1044 E Brandon Blvd Ste 2&3, Brandon, FL 33511-5509 2020-08-13
1316509185 Healthy Minds & Healing Hearts Nurse Practitioner 843 Viscount St, Brandon, FL 33511-6653 2019-07-02
1912565219 Cynthia C Dukes Nurse Practitioner 910 Lake Dr Apt 4a, 910 Lake Dr Apt 4a, Brandon, MS 39042-3819 2019-05-31
1700390184 Tritresher Sizer Nurse Practitioner 323 Kings Ridge Cir, Brandon, MS 39047-6031 2017-11-21
1073058020 Michael George Shaw Nurse Practitioner 23 Pebble Hill Dr, Brandon, MS 39042-2140 2016-12-29
1760842280 Sunny Sia Nurse Practitioner 205 W Morgan St, Brandon, FL 33510 2016-02-25
1639294622 Susan B Cintron Nurse Practitioner 611 Lakewood Dr, Brandon, FL 33510-2814 2007-03-20
1902946312 Elizabeth Mary Haviland Nurse Practitioner 90 Whites Point Rd, Brandon, VT 05733-9214 2007-02-07
1669586996 William Dwight Johnson Nurse Practitioner 613 Marquette Drive, Brandon, MS 39042 2006-08-17
1598773897 Christopher J Watkins Nurse Practitioner 501 Avalon Way Ste D, Brandon, MS 39047-7500 2006-08-03
Find all providers in BRANDON

Competitor

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City BRANDON
Zip Code 39042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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