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Dr. Jesse Pullen Penico, MD
Infectious Disease Physician in Gulfport, Mississippi
NPI 1912904590

Jesse Pullen Penico is a Infectious Disease Physician based in Gulfport, MS and is specialized in Infectious Disease. Jesse Pullen Penico practices in Gulfport, MS and has the professional credentials of MD. The NPI Number for Jesse Pullen Penico is 1912904590 and holds a License No. ME72349 (Mississippi).

The current practice location address for Jesse Pullen Penico is 1340 Broad Ave, Gulfport, MS and can be reached out via phone at 228-575-2700 and via fax at 228-575-2709. You can also correspond with Jesse Pullen Penico through the mailing address at PO BOX 1810, GULFPORT, MS - 39502-1810 (mailing address contact number: 228-575-2700).

Location: 1340 Broad Ave, Gulfport, MS, 39502-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912904590
Provider Name
Jesse Pullen Penico
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1340 Broad Ave, Gulfport, MS, 39502-1810
Phone Number
228-575-2700
Fax Number
228-575-2709
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00112089 05 MS
1339181 05 LA
institution
Provider Business Practice Location Address Details
Address
1340 Broad Ave
City
Gulfport
State
Mississippi
Zip
39501-2404
Phone Number
228-575-2700
Fax Number
228-575-2709
person
Provider Business Mailing Address Details
Address
Po Box 1810
City
Gulfport
State
Mississippi
Zip
39502-1810
Phone Number
228-575-2700
Fax Number
228-575-2710
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Infectious Disease
Taxonomy
207RI0200X
License No.
ME72349 (Florida)
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 which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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