Dr. Jesse Pullen Penico, MD
Dr. Jesse Pullen Penico, MD is an Infectious Disease Physician in Gulfport, Mississippi. Licensed in Florida, Louisiana and Mississippi. Registered with an NPI since 2005.
- Licensed in
- FL, LA, MS
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1340 Broad Ave Ste 300Gulfport, MS 39501-2404
Phone: (228) 575-2700
Fax: (228) 575-2709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X · Licence 21358 (MS) |
|---|---|
| Infectious Disease Physician | Taxonomy 207RI0200X · Licence ME72349 (FL) |
| Infectious Disease Physician | Taxonomy 207RI0200X · Licence 015311 (LA) |
Record details
| NPI number | 1912904590 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 28, 2005 |
| Last updated in NPPES | September 22, 2020 |
| Certification date | September 22, 2020 |
Other providers in Gulfport
-
Memorial Hospital at Gulfport
4500 13th St 3rd Fl Main Tower Ste A, Gulfport, MS 39501-2515 · (228) 575-2390