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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366616344 | NPPES |
| Mississippi | MEDICAID | 09587337 |
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