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Waylon Colby Jackson, CRNA,CPNP-AC,CCRN
Certified Registered Nurse Anesthetist in Springfield, Illinois
NPI 1548443146

Waylon Colby Jackson is a Certified Registered Nurse Anesthetist based in Springfield, IL. Waylon Colby Jackson practices in Springfield, IL and has the professional credentials of CRNA,CPNP-AC,CCRN. The NPI Number for Waylon Colby Jackson is 1548443146 and holds a License No. 2002014595 (Illinois).

The current practice location address for Waylon Colby Jackson is 701 N 1St St, Springfield, IL and can be reached out via phone at 217-788-3755.

Location: 701 N 1St St, Springfield, IL, 62707-7726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548443146
Provider Name
Waylon Colby Jackson
Credential
CRNA,CPNP-AC,CCRN
Provider Entity Type
Individual
Gender
Male
Address
701 N 1St St, Springfield, IL, 62707-7726
Phone Number
217-788-3755
Fax Number
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
701 N 1St St
City
Springfield
State
Illinois
Zip
62781-0001
Phone Number
217-788-3755
Fax Number
person
Provider Business Mailing Address Details
Address
701 N 1St St
City
Springfield
State
Illinois
Zip
62781-0001
Phone Number
217-788-3755
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
209011241 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
363LP0222X
License No.
20071425 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
2002014595 (Missouri)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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