Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Lee Palacios II

Individual provider Independent Duty Corpsman · NPI 1174839880

Jesse Lee Palacios II is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone: (228) 871-2810
Fax: (228) 871-2135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1174839880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2010
Last updated in NPPESAugust 19, 2010

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