JERILYN D. JACKSON M.D. – NPI #1962446575
Emergency Medicine
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 response to acute illness and injury.
JERILYN JACKSON is a physician located in SANTA ROSA, CA. NPPES has assigned the NPI number 1962446575 to JERILYN JACKSON on June 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.
The NPI profile was previously updated about 8 years ago on Jul 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JERILYN JACKSON below.
NPI Profile for
JERILYN D. JACKSON
(about 20 years ago)
SANTA ROSA, CA 95401-4606 Phone: (707) 303-3600 Fax:
1 Other location(s):
Vista Family Health Center, Office Green
Santa Rosa, CA 95403-1757
Phone: (707) 303-3600 Ext: 494
Fax: (707) 303-3609
PMB 16
SANTA ROSA, CA 95403-7401 Phone: (707) 318-9670 Fax: (707) 571-8446
Identifiers for JERILYN JACKSON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | 00G676492 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207P00000X - Emergency Medicine (Primary) |
CA | G67649 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Order Durable Medical Equipment
- Order Power Mobility Devices
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