MR. JAKE WALLACE CARZOLI FNP-C
NPI 1548761950
Nurse Practitioner in Vancleave, MS

Q: What is Jake Carzoli's NPI number?

The NPI number for Jake Carzoli is 1548761950. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Q: What is Jake Carzoli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Carzoli was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2018

11700 MS-57, VANCLEAVE, MS 39565(228) 826-1482 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Jake Wallace Carzoli Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAKE WALLACE CARZOLI FNP-C (NPI 1548761950) is an individual nurse practitioner in Vancleave, Mississippi, licensed in Mississippi (902499) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1548761950

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. JAKE WALLACE CARZOLICredential: FNP-C

Location Address11700 MS-57Vancleave, MS 39565

Mailing Address509 Palm Breeze DrOcean Springs, MS 39564-5532 · (334) 728-0421

Phone(228) 826-1482

Sole ProprietorNo

Enumeration DateFebruary 22, 2018

✔ NPI 1548761950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 902499

Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11700 MS-57, Vancleave, MS 39565

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Carzoli's NPI number?

The NPI number for Jake Carzoli is 1548761950. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Where is Jake Carzoli located?

Jake Carzoli practices at 11700 Ms-57, Vancleave, MS 39565. The listed phone number is (228) 826-1482.

What is Jake Carzoli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jake Carzoli was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.