Jessica Mccallister Tullos
Family Doctor Emergency Physician Family Doctor - Sports Medicine
103 Medical Park
Hattiesburg
, Mississippi 39401-9042
Jessica Mccallister Tullos
Family Doctor Emergency Physician Family Doctor - Sports Medicine
103 Medical Park
Hattiesburg
, Mississippi 39401-9042
(601) 579-5240
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About
Features
Specialties
- Emergency Physician
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jessica Mccallister Tullos
- 415 S 28th Ave
- Hattiesburg, MS
- Zip : 39401-7246
- Fax : (601) 579-5240
- Phone : (601) 268-5630
Second Address
- Jessica Mccallister Tullos
- 103 Medical Park
- Hattiesburg, MS
- Zip : 39401-9042
- Fax : (601) 268-5819
- Phone : (601) 268-5630
Reviews
FAQs
Where did Jessica Mccallister Tullos attend graduate school?
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Where did Jessica Mccallister Tullos do her fellowship?
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What type of doctor is Jessica Mccallister Tullos
In what state does Jessica Mccallister Tullos practice in?
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What is Jessica Mccallister Tullos ’s gender?
Is Jessica Mccallister Tullos a sole practitioner?
Is Jessica Mccallister Tullos accepting new patients?
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Does Jessica Mccallister Tullos accept insurance?
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Does Jessica Mccallister Tullos have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 24078 | MS |
| N | 207Q00000X | Family Doctor | 24078 | MS |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 24078 | MS |
National Provider Identifier
| NPI | 1306254255 |
|---|---|
| Provider Name | Jessica Mccallister Tullos |
| First Address | Hattiesburg, MS 39401-7246 |
| Second Address | Hattiesburg, MS 39401-9042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2014 |
| Last Update Date | 20/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0803724 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.