Jerald William Driskell, R.N., FNP-C

Nurse Practitioner · Gresham, OR

Individual Active NPI

NPI number 1578766861

Practice location

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone
(503) 666-5050

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NPI record

NPI
1578766861
Entity type
Individual (Type 1)
Enumeration date
June 6, 2007
Last updated
September 2, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 200750068NP OR
Registered Nurse 163W00000X 200740644RN OR
Registered Nurse 163W00000X 509631 TX
Nurse Practitioner 363L00000X 509631 TX

Mailing address

PO Box 3777
Portland, OR 97208

About Jerald Driskell

Jerald William Driskell, R.N., FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2850 SE Powell Valley Rd, Gresham, OR 97080. The NPI number 1578766861 was assigned on June 6, 2007 and the record was last updated on September 2, 2016.

Jerald Driskell lists 4 licenses in the registry: #200750068NP (OR) for Nurse Practitioner; #200740644RN (OR) for Registered Nurse; #509631 (TX) for Registered Nurse; #509631 (TX) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerald William Driskell, R.N., FNP-C?

The NPI number is 1578766861.

What is the phone number of Jerald Driskell?

The phone number listed for the practice location is (503) 666-5050.

Where is Jerald Driskell located?

2850 SE Powell Valley Rd, Gresham, OR 97080.

What is the taxonomy code for Jerald Driskell?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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