Individual
MR. JAYISON MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
850 BROOK FOREST AVE, SHOREWOOD, IL 60404-8513
(815) 436-2278
Mailing address
22228 HERITAGE DR, FRANKFORT, IL 60423-8523
(708) 560-6017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012391
IL
363LF0000X
Family Nurse Practitioner
APRN002024
NV
Other
Enumeration date
01/13/2015
Last updated
04/16/2025
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