Jenelle Marjorie Nicole Corkill, ND
Individual provider Active NPI Naturopath · Henderson, NV
NPI 1609355122 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1609355122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 2440 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2731 - Phone
- (702) 450-7175
- Fax
- (702) 436-6561
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | OR | Yes |
Addresses
Primary practice location
2440 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2731
Mailing address
2851 N Tenaya Way Ste 103
Las Vegas, NV 89128-0453
Phone (702) 658-0204
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.