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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAKE WALLACE CARZOLI, FNP-C

Active

MR. JAKE WALLACE CARZOLI, FNP-C is a Nurse Practitioner healthcare provider located in VANCLEAVE, Mississippi. NPI 1548761950 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · VANCLEAVE, MS

Registration Details

NPI Number
1548761950
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2018 (8.2898834536415 yrs)
Last Updated
Feb 22, 2018
License
902499 (MS)

Practice Information

Address
11700 MS-57
VANCLEAVE, MS, 39565
Browse MS providers · Browse ZIP 39565
Phone
2288261482
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in VANCLEAVE, MS

Name Credential NPI
JOSEPH P FERO NP 1669457925
JOHN MICHAEL MARTIN NP 1962566224
WHITNEY W MOORE NP-C 1164689071
AMANDA J GALLE NP 1629427174
KRISTINA M GARLOTTE FNP-C 1033704457
APRIL DEANNA SANZIN NP 1194556944
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.