Healthcare Provider Details

I. General information

NPI: 1700717956
Provider Name (Legal Business Name): JULEP HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 S PEAR ORCHARD RD STE 16
RIDGELAND MS
39157-4800
US

IV. Provider business mailing address

731 S PEAR ORCHARD RD STE 16
RIDGELAND MS
39157-4800
US

V. Phone/Fax

Practice location:
  • Phone: 769-567-1826
  • Fax: 855-564-1771
Mailing address:
  • Phone: 769-567-1826
  • Fax: 855-564-1771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARSHALL ADAMS BRISCOE
Title or Position: OWNER
Credential: MD
Phone: 769-567-1826