NPI 1114490760
Jillian Marie Driver
Practice location
- Address
- 8100 W 78th St STE 230, Edina, MN 55439-2570
- Phone
- (320) 552-1348
- Mailing address
- 4350 Trenton Ln N APT 204, Plymouth, MN 55442-2824
Registered specialties (3)
Athletic Trainer
Primary
Student in an Organized Health Care Education/Training Program
Athletic Trainer
Registry record
- NPI
- 1114490760
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jan 2019
- Record last updated
- 17 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.