Tullos, Jessica Mccallister

Tullos, Jessica Mccallister is an individual health care provider with primary practice located at 103 Medical Park , Hattiesburg MS 39401-9042. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Tullos, Jessica Mccallister can be contacted via phone (601) 268-5630.

Contact Information

Primary practice address
103 Medical Park Hattiesburg MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 268-5819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24078 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24078 Mississippi
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X R6698 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 24078 Mississippi

Profile Details

NPI number 1306254255
LBN Legal business name Tullos, Jessica Mccallister
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Jul 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306254255 NPPES
Mississippi MEDICAID 0803724

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