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NPI Code Detail

MEDICARE: AMBER MARTIN ARNOLD NP-C

MEDICARE: AMBER MARTIN ARNOLD NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3-001192AL
2363LF0000XFamily Nurse PractitionerA189664IA
3363LF0000XFamily Nurse Practitioner4704395860MI
4363LF0000XFamily Nurse PractitionerAPRN11024072FL
5363LF0000XFamily Nurse Practitioner5023138NC
6363LF0000XFamily Nurse Practitioner207560LA
7363LF0000XFamily Nurse PractitionerGAA-NP004026GA
8363LF0000XFamily Nurse Practitioner2025001424MO
9363LF0000XFamily Nurse Practitioner222227AR
10363LF0000XFamily Nurse Practitioner30975SC
11363LF0000XFamily Nurse PractitionerA810661MS
12363LF0000XFamily Nurse Practitioner13403TN
13363LF0000XFamily Nurse PractitionerAPRN.CNP.0034404OH
14363LF0000XFamily Nurse PractitionerLG-0013403DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366616344
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MARTIN ARNOLD NP-C
Provider Business Mailing Address
First Line : 415 S 28TH AVE
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-7246
Country : US
Telephone Number : 601-296-2980
Fax Number : 601-579-5240
Provider Business Practice Location Address
First Line : 14116 CUSTOMS BLVD
Second Line :
City : GULFPORT
State : MS
Zip : 39503-5164
Country : US
Telephone Number : 601-957-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2008
Last Update Date : 03/03/2026

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