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

Mr. Jerry L Corp II, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1003261322

Mr. Jerry L Corp II, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Buffalo, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

255 Delaware Ave
Buffalo, NY 14202-2016
Phone: (716) 884-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402647 (NY)

Record details

NPI number1003261322
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

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