Individual
MR. JAYISON MCCORKLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1505 WIGWAM PKWY STE 211, HENDERSON, NV 89074-8195
(725) 235-7883
Mailing address
1505 WIGWAM PKWY STE 211, HENDERSON, NV 89074-8195
(725) 235-7883
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
845967
NV
Other
Enumeration date
07/10/2024
Last updated
04/27/2026
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