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

Individual provider Family Nurse Practitioner · NPI 1316487218

Mr. Jesse Fazzingo, ARNP is a Nurse Practitioner in St Augustine, Florida. Qualified in 2012, 14 years ago. Practices with Mobile Visiting Practitioners, LLC, a 25-clinician group. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2017
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1301 Plantation Island Dr S Ste 302A
St Augustine, FL 32080-3108
Phone: (904) 461-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9241959 (FL)

Record details

NPI number1316487218
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedFebruary 27, 2017
Last updated in NPPESApril 20, 2017
Mailing address1301 Plantation Island Dr S, Ste 302a, Saint Augustine, FL 32080-3117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mobile Visiting Practitioners, Llc — 25 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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