What is Jerilyn Jackson's NPI number?

Jerilyn Jackson's National Provider Identifier (NPI) is 1962446575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerilyn Jackson's specialty?

Jerilyn Jackson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Jerilyn Jackson located?

Jerilyn Jackson's practice location on file with NPPES is 1110 N Dutton Ave, Santa Rosa, CA 95401-4606.

What is Jerilyn Jackson's phone number?

The practice phone number listed in the NPPES registry for Jerilyn Jackson is (707) 303-3600.

Is Jerilyn Jackson's NPI active?

Yes — Jerilyn Jackson's NPI (1962446575) is active in the NPPES registry as of the last update on 2018-07-25.

IndividualActive

Jerilyn Jackson, M.D.

NPI 1962446575 · Emergency Medicine Physician · Santa Rosa, CA

Jerilyn Jackson, M.D. is a Emergency Medicine Physician provider in Santa Rosa, CA (NPI 1962446575).

Provider details

NPI number: 1962446575
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: G67649 (CA)

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense G67649 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(95/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1110 N Dutton Ave

Santa Rosa, CA 95401-4606

Phone: (707) 303-3600

Street-level locationGet directions

More CA providers

Mailing address

1772 Piner Rd

Santa Rosa, CA 95403-7401

Additional practice locations (1)

3569 Round Barn Cir
Vista Family Health Center, Office Green
Santa Rosa, CA 95403-1757
Phone: (707) 303-3600
Fax: (707) 303-3609

Enumerated: 2006-06-15
Last updated: 2018-07-25

Frequently asked questions

What is Jerilyn Jackson's NPI number?: Jerilyn Jackson's National Provider Identifier (NPI) is 1962446575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jerilyn Jackson's specialty?: Jerilyn Jackson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Jerilyn Jackson located?: Jerilyn Jackson's practice location on file with NPPES is 1110 N Dutton Ave, Santa Rosa, CA 95401-4606.
What is Jerilyn Jackson's phone number?: The practice phone number listed in the NPPES registry for Jerilyn Jackson is (707) 303-3600.
Is Jerilyn Jackson's NPI active?: Yes — Jerilyn Jackson's NPI (1962446575) is active in the NPPES registry as of the last update on 2018-07-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.