MR. JERRY L CORP PMHNP-BC NPI 1003261322

NPI Information

  • NPI: 1003261322
  • Provider Name: MR. JERRY L CORP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 255 DELAWARE AVE
    BUFFALO, NY
    ZIP 14202
  • Phone: (716) 884-0888

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NPI Details

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 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
1363LP0808XNurse PractitionerPsychiatric/Mental Health402647NEW YORKYes

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: 3/30/2025

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