Jerilyn De Von Jackson M.D.

  • NPI 1962446575
According to our database, the NPI number for Jerilyn De Von Jackson M.D. is 1962446575 and activated since 17 years ago. Jerilyn De Von Jackson M.D. is an individual provider who specializes in Emergency Medicine, and the primary practice location is 1110 N Dutton Ave, Santa Rosa, CA 95401. You can also contact Jerilyn De Von Jackson M.D. via telephone number is (707) 303-3600. Provider NPI information was last updated on 07/25/2018.

Recently Active NPIs

Overview of Jerilyn De Von Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/15/2006
  • Last updated: 07/25/2018

Primary Scrop of Practice

  • Taxonomy Code: 207P00000X
  • Specialty: Emergency Medicine
  • License Number: G67649
  • License State: CA

Provider Mailing Address

  • Address: 1772 Piner Rd
    Pmb 16
    Santa Rosa, CA 95403
  • Phone: 707-318-9670
  • Fax: 707-571-8446

Provider Practice Location

  • Address: 1110 N Dutton Ave
    Santa Rosa, CA 95401
  • Phone: 707-303-3600
  • Fax:

Scope of Practice

  • Taxonomy Code: 207P00000X
  • Specialty: Emergency Medicine
  • License Number: G67649
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00G676492
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerilyn De Von Jackson M.D.?
  • A: The npi number for Jerilyn De Von Jackson M.D. is 1962446575.
  • Q: What are Jerilyn De Von Jackson M.D.'s specialties?
  • A: Jerilyn De Von Jackson M.D.'s specialties are Emergency Medicine and different specialities.
  • Q: What is the medical license for Jerilyn De Von Jackson M.D.?
  • A: The medical license number for Jerilyn De Von Jackson M.D. is G67649 and issued in CA in USA.
  • Q: Where is Jerilyn De Von Jackson M.D. practice location?
  • A: Jerilyn De Von Jackson M.D. is practicing at 1110 N Dutton Ave, Santa Rosa, CA 95401.
  • Q: How to contact Jerilyn De Von Jackson M.D.?
  • A: You can contact Jerilyn De Von Jackson M.D. via 707-303-3600.