Provider Demographics
NPI:1437906294
Name:ODUM, MORGAN (FNP-BC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:ODUM
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 COUNTY COMPLEX RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-4846
Mailing Address - Country:US
Mailing Address - Phone:910-592-1131
Mailing Address - Fax:910-592-4724
Practice Address - Street 1:360 COUNTY COMPLEX RD STE 200
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-4846
Practice Address - Country:US
Practice Address - Phone:910-592-1131
Practice Address - Fax:910-592-4724
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily