Jesse Pullen Penico in Gulfport - Infectious Disease
Jesse Pullen Penico - NPI 1912904590
Jesse Pullen Penico is a Infectious Disease in Gulfport, Mississippi. Jesse Pullen Penico practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Jesse Pullen Penico is 1912904590. The last update date is 2020-09-22.
Jesse Pullen Penico's current location address is Po Box 1810, Gulfport, Mississippi. You can contact this provider via phone number 2285752700 and fax number 2285752710. The mailing address for Jesse Pullen Penico is Po Box 1810, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Pullen Penico |
|---|---|
| Address | Po Box 1810, Gulfport, Mississippi |
| Phone Number | 2285752700 |
| Fax Number | 2285752710 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912904590 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2020-09-22 |
Provider Mailing Address Detail
| Address | Po Box 1810 |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395021810 |
| Phone Number | 2285752700 |
| Fax Number | 2285752710 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | ME72349 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112089 | MS | -- | |
| 1339181 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jesse Pullen Penico by the Centers for Medicare & Medicaid Services?
The Jesse Pullen Penico has been issued the NPI (National Provider Identifier) 1912904590, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jesse Pullen Penico is physically located?
The Jesse Pullen Penico is physically situated at the following address: Po Box 1810, Gulfport, MS, 395021810.
What is Jesse Pullen Penico's area of expertise and its corresponding taxonomy classification?
The Jesse Pullen Penico's field of specialization is Infectious Disease, and it falls under the taxonomy code 207Ri0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1912904590 to Jesse Pullen Penico?
The Jesse Pullen Penico received its 1912904590 assignment from the Centers for Medicare & Medicaid Services on 2005-06-28.
When was the Jesse Pullen Penico's information last updated?
The Jesse Pullen Penico's information was last updated on 2020-09-22.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX