Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerrell Lee Driver, PHD

Individual provider Clinical Psychologist · NPI 1912908963

Dr. Jerrell Lee Driver, PHD is a Clinical Psychologist in Jackson, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2387 W Jackson Blvd Ste B
Jackson, MO 63755-3024
Phone: (573) 204-7771
Fax: (573) 204-7771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 00099 (MO)

Record details

NPI number1912908963
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 2, 2005
Last updated in NPPESSeptember 10, 2011
Mailing addressPost Office Box 1642, Cape Girardeau, MO 63702-1642

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