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

Jessica Coolidge

Individual provider Nurse Practitioner · NPI 1831550607

Jessica Coolidge is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2015, 11 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2016
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Practice location Address checks out

4500 13th St
Gulfport, MS 39501-2515
Phone: (228) 867-4396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 901454 (MS)

Record details

NPI number1831550607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016
Mailing address4500 13th St, Gulfport, MS 39501-2515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gulfport