Provider Demographics
NPI:1659303303
Name:MCNEESE, JASON TRIPPE (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:TRIPPE
Last Name:MCNEESE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 OCEAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3409
Mailing Address - Country:US
Mailing Address - Phone:228-875-3033
Mailing Address - Fax:228-875-3989
Practice Address - Street 1:1270 OCEAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3409
Practice Address - Country:US
Practice Address - Phone:228-875-3033
Practice Address - Fax:228-875-3989
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19088207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07776850Medicaid
MS07776850Medicaid