Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerilyn De Von Jackson, MD

Individual provider Emergency Medicine Physician · NPI 1962446575

Jerilyn De Von Jackson, MD is an Emergency Medicine Physician in Santa Rosa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1110 N Dutton Ave
Santa Rosa, CA 95401-4606
Phone: (707) 303-3600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3569 Round Barn Cir, Santa Rosa, CA 95403-1757 — (707) 303-3600

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G67649 (CA)

Record details

NPI number1962446575
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 25, 2018

Other providers in Santa Rosa