Individual provider · Type 1 NPI

Jake Wallace Carzoli, FNP-C

Nurse Practitioner · Vancleave, MS

NPI number 1548761950 Active

Practice location

11700 MS-57
Vancleave, MS 39565

Mailing address

509 Palm Breeze Dr
Ocean Springs, MS 39564-5532

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X902499 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Other nurse practitioner providers in Vancleave

See all in Vancleave →

About NPI 1548761950

Jake Wallace Carzoli, FNP-C's National Provider Identifier is 1548761950, issued on Feb 22, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vancleave, MS. The record was last updated on Feb 22, 2018.