Royceanne Fairchild Odom
FNP | Nurse Practitioner | 8+ years Exp
1507 S Tuttle Ave, Sarasota
Florida, 34239-2608
301-722-0484
Royceanne Fairchild Odom is a Sarasota, Florida based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Royceanne Fairchild Odom is 903599 for Family in Mississippi. Her current practice location is 1507 S Tuttle Ave, Sarasota. Patients can reach her at 301-722-0484 or can fax her at 833-903-0130. Royceanne Fairchild Odom is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1316465867.
Royceanne Fairchild Odom has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Royceanne Fairchild Odom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Royceanne Fairchild Odom |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1507 S Tuttle Ave, Sarasota,
Florida, 34239-2608 |
| Phone: | 301-722-0484 |
| Fax: | 833-903-0130 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1355670274 |
| Enrollment ID: | I20191030001892 |
| NPI Number: | 1316465867 |
| NPI Enumeration Date: | 05 Sep, 2017 |
| NPI Last Update On: | 14 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Royceanne Fairchild Odom are as mentioned below.
| License Number | Specialization | State | Status | |
| 903599 | Family | Mississippi | Primary | |
| 903599 | Nurse Practitioner | Mississippi | Secondary | |
| 0000853-C-NP | Family | Colorado | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Royceanne Fairchild Odom is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hattiesburg Clinic, Pa (5193706794) | 445 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Royceanne Fairchild Odom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02779360 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Royceanne Fairchild Odom
157 Baltimore St Suite 100,
Cumberland, Maryland |
| Zip: | 21502 |
| Phone Number: | 301-722-0484 |
| Fax Number: | 833-903-0130 |
Patients can reach Royceanne Fairchild Odom at
1507 S Tuttle Ave, Sarasota, Florida or can
call to book an appointment on 301-722-0484.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.