Royceanne Fairchild Odom is a Hattiesburg, Mississippi 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 415 S 28th Ave, Hattiesburg. Patients can reach her at 601-579-5430 or can fax her at 601-268-5819. 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:
415 S 28th Ave, Hattiesburg, Mississippi, 39401-7246
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:
30 Jul, 2020
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 415 S 28th Ave, Hattiesburg, Mississippi
Zip:
39401-7246
Phone Number:
601-579-5430
Fax Number:
601-579-5240
Patients can reach Royceanne Fairchild Odom at 415 S 28th Ave, Hattiesburg, Mississippi or can call to book an appointment on 601-579-5430.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.