Arnold, Amber Martin

Arnold, Amber Martin is an sole proprietor health care provider with primary practice located at 14116 Customs Blvd , Gulfport MS 39503-5164. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Arnold, Amber Martin can be contacted via phone (601) 957-6300.

Contact Information

Primary practice address
14116 Customs Blvd Gulfport MS 39503-5164
Phone: (601) 957-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13403 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A810661 Mississippi

Profile Details

NPI number 1366616344
LBN Legal business name Arnold, Amber Martin
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2008
Last updated Oct 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366616344 NPPES
Mississippi MEDICAID 09587337

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