| NPI | 1649051046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE MARTIN Owner/Nurse Practitioner 601-757-9689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |