Jerald William Driskell in Gresham - Nurse Practitioner
Jerald William Driskell - NPI 1578766861
Jerald William Driskell is a Nurse Practitioner in Gresham, Oregon. Jerald William Driskell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jerald William Driskell is 1578766861. The last update date is 2016-09-02.
Jerald William Driskell's current location address is 2850 Se Powell Valley Rd, Gresham, Oregon. You can contact this provider via phone number 5036665050. The mailing address for Jerald William Driskell is 2850 Se Powell Valley Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerald William Driskell |
|---|---|
| Address | 2850 Se Powell Valley Rd, Gresham, Oregon |
| Phone Number | 5036665050 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.N., FNP- |
NPI Number Detail
| NPI Number | 1578766861 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2016-09-02 |
Provider Mailing Address Detail
| Address | 2850 Se Powell Valley Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 97080 |
| Phone Number | 5036665050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 509631 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Jerald William Driskell by the Centers for Medicare & Medicaid Services?
The Jerald William Driskell has been issued the NPI (National Provider Identifier) 1578766861 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerald William Driskell's facilities are geographically located?
The facilities of Jerald William Driskell are physically situated at the following location: 2850 Se Powell Valley Rd, Gresham, OR, 97080.
What is Jerald William Driskell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerald William Driskell is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Jerald William Driskell receive its 1578766861 assignment from the Centers for Medicare & Medicaid Services?
The Jerald William Driskell was assigned its 1578766861 by the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date was the information regarding Jerald William Driskell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerald William Driskell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-09-02.
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