# OLE BROOK KIDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ole Brook Kids Wellness and Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649051046
- **Authorized official:** MRS. AMBER NICOLE MARTIN APRN, CPNP (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (601) 757-9689

## Contact information

- **Practice address:** 508 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3267
- **Practice address phone:** (601) 835-1062
- **Mailing address:** PO BOX 1403, BROOKHAVEN, MS 39602-1403
- **Mailing address phone:** (601) 757-9689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 01/25/2026