Individual
JESSICA MCCALLISTER TULLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
103 MEDICAL PARK, HATTIESBURG, MS 39401-9042
(601) 268-5630
(601) 268-5819
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5630
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24078
MS
207Q00000X
Family Medicine Physician
24078
MS
207QB0002X
Obesity Medicine (Family Medicine) Physician
R6698
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
24078
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803724
—
MS
Enumeration date
07/23/2014
Last updated
03/26/2026
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