Dr. Jerrell Lee Driver, PHD
Dr. Jerrell Lee Driver is a Clinical Psychologist provider (Psychologist) practicing in Jackson, MO, registered in the NPPES registry with NPI 1912908963 since 2005. The credential PHD stands for Doctor of Philosophy. Practices at Jackson Medical Center PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1912908963 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jerrell Lee Driver |
| Credential | PHD |
| Sex | Male |
| Practice address | Jackson, MO, 63755 |
| Phone | 5732047771 |
| Fax | 5732047771 |
| Enumeration date | 2005-08-02 |
| Last updated in NPPES | 2011-09-10 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | PY 00099 | MO |
PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY00099 | Other | — | MO-LICENSE PSYCHOLOGIST |
| 493204309 | Medicaid | MO | — |
Copy-ready billing details
Provider: Jerrell Driver, PHD NPI: 1912908963 Taxonomy: 103TC0700X (Clinical Psychologist) Address: Jackson, MO, 63755
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740389980 | Charles Pewitt | Individual | Family Medicine Physician | Jackson, MO |
| 1508048125 | Jackson Medical Center PC | Organization | Family Medicine Physician | Jackson, MO |
| 1134389950 | Justin Franke | Individual | Physical Therapist | Jackson, MO |
| 1346487931 | Julia Pewitt | Individual | Family Medicine Physician | Jackson, MO |
| 1053650259 | Geoffrey Enders | Individual | Physical Therapist | Jackson, MO |
Verify this record
Cross-check NPI 1912908963 against the authoritative CMS record: view Dr. Jerrell Lee Driver on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2011-09-10.