Individual provider · Type 1 NPI

Jerilyn De Von Jackson, MD

Emergency Medicine Physician · Santa Rosa, CA

NPI number 1962446575 Active

Practice location

1110 N Dutton Ave
Santa Rosa, CA 95401-4606

Call (707) 303-3600 Map

Mailing address

1772 Piner Rd, Pmb 16
Santa Rosa, CA 95403-7401

Other practice locations

  • 3569 Round Barn Cir, Vista Family Health Center, Office Green, Santa Rosa, CA 95403-1757 · (707) 303-3600

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XG67649 (CA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1962446575

Jerilyn De Von Jackson, MD's National Provider Identifier is 1962446575, issued on Jun 15, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 25, 2018.