Organization · Type 2 NPI
Ole Brook Kids, P.c.
Pediatric Nurse Practitioner · Brookhaven, MS
NPI number
1649051046
Active
Practice location
508 Brookway Blvd
Brookhaven, MS 39601-3267
Mailing address
PO Box 1403
Brookhaven, MS 39602-1403
Other practice locations
- 301C Highway 51 S, Brookhaven, MS 39601-3247 · (601) 835-1062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Brookhaven
About NPI 1649051046
Ole Brook Kids, P.c.'s National Provider Identifier is 1649051046, issued on Oct 11, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brookhaven, MS. The record was last updated on Jan 25, 2026.