Organization
OLE BROOK KIDS, P.C.
Active
Other names
Ole Brook Kids Wellness and Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER NICOLE MARTIN APRN, CPNP (OWNER/NURSE PRACTITIONER)
(601) 757-9689
Entity
Organization
Contact information
Practice address
508 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3267
(601) 835-1062
Mailing address
PO BOX 1403, BROOKHAVEN, MS 39602-1403
(601) 757-9689
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
01/25/2026
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