MR. JERRY L CORP PMHNP-BC NPI 1003261322

NPI Information

NPI: 1003261322
Provider Name: MR. JERRY L CORP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
255 DELAWARE AVE
BUFFALO, NY
ZIP 14202
Phone: (716) 884-0888
Get Directions

MR. Jerry L Corp, PMHNP-BC is a psychiatric/mental health nurse practitioner in Buffalo, NY. MR. Jerry L Corp, PMHNP-BC NPI is 1003261322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 DELAWARE AVE
BUFFALO, NY
ZIP 14202-016
Phone: (716) 884-0888

The NPI 1003261322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2016 and was last updated on 2/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	402647	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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