Jerrell Lee Driver (NPI# 1912908963, PAC ID# 9234305756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1912908963 |
| PAC ID by PECOS | 9234305756 |
| Professional Enrollment ID | I20120105000342 |
| Full Name | Jerrell Lee Driver |
| Address |
2387 W Jackson Blvd B Jackson MO 63755-3018 |
| Phone Number | 5732047771 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2387 W Jackson Blvd B, Jackson, MO 63755-3018 | 5732047771 |
| Street Address |
2387 W JACKSON BLVD B |
| City | JACKSON |
| State | MO |
| Zip | 63755-3018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene F Mcdonald | Optometry | 430 W Independence, Jackson, MO 63755-1203 | |
| Tia M Rademaker | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2432 E Main St B, Southeast Convenient Care, Jackson, MO 63755-1711 |
| Elizabeth A Derickson | Clinical Social Worker | One Accord Counseling LLC | 902 E Jackson Blvd, Jackson, MO 63755-2434 |
| Deanna M Siemer | Family Medicine | Jackson Primary Care LLC | 2685 E Main St A, Jackson, MO 63755-2474 |
| Janae J Eskew | Nurse Practitioner | Jackson Primary Care LLC | 2685 E Main St A, Jackson, MO 63755-2474 |
| James J Lee | Chiropractic | 2625 E Jackson Blvd, Jackson, MO 63755-2916 | |
| Wayne A Sarno | Podiatry | 1166 Greenway Dr, Suite B2, Jackson, MO 63755-2921 | |
| Troy L Bell | Optometry | Troy L Bell Od and Assoc PC. | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Morgan A Strand | Optometry | Troy L Bell Od and Assoc PC. | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Panagiotis Paulus | Ophthalmology | Eye Surgery Consultants LLP | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Find all physicians in zip 63755 | |||
| City | JACKSON |
| Zip Code | 63755 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | JACKSON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jerrell Lee Driver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.