Provider Demographics
NPI:1962498667
Name:JARZYN, CAROL A (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:JARZYN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 SW PALM CITY RD
Mailing Address - Street 2:#8204
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4268
Mailing Address - Country:US
Mailing Address - Phone:772-287-9171
Mailing Address - Fax:
Practice Address - Street 1:417 SE BALBOA AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2327
Practice Address - Country:US
Practice Address - Phone:772-463-4128
Practice Address - Fax:772-463-4129
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1122462363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health