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Jerrell Lee Driver, PHD

Clinical · Jackson

NPI 1912908963

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Jerrell Lee Driver’s office at (573) 204-7771 to ask if they take your plan before you enroll.

Professional record

NPI
1912908963
Licence
MO PY 00099
More record details
Sole proprietor
Yes
Medicaid ID
MO 493204309
Taxonomy
Federal specialty code 103TC0700X (103TC0700X)
Mailing address
Post Office Box 1642, Cape Girardeau, MO, 63702
NPI first listed
2005-08-02
NPI last updated
2011-09-10

This is when the NPI record was last certified, not a medical board exam.