Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jake Wallace Carzoli, FNP-C

Individual provider Nurse Practitioner · NPI 1548761950

Mr. Jake Wallace Carzoli, FNP-C is a Nurse Practitioner in Vancleave, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11700 MS-57
Vancleave, MS 39565
Phone: (228) 826-1482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 902499 (MS)

Record details

NPI number1548761950
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018

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