MR. Jake Wallace Carzoli, FNP-C
NPI #1548761950 in Vancleave, Mississippi
Provider Information
- NPI Number
- 1548761950
- Entity Type
- Individual
- Name
- MR. Jake Wallace Carzoli, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-C
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Feb 22, 2018
Practice Location
- Address
- 11700 MS-57
- City
- Vancleave
- State
- Mississippi
- ZIP Code
- 39565
- Phone
- (228) 826-1482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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