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WAYLON JACKSON, CRNA, CPNP-AC, CCRN

CRNA, CPNP-AC, CCRN

Certified Registered Nurse Anesthetist

NPI: 1548443146IndividualAccepts Medicare

Specialties, Licenses & Credentials

Critical Care Medicine Registered Nurse

Registered Nurse — Critical Care Medicine

Code: 163WC0200X

2002014595(MO)
Critical Care Pediatric Nurse Practitioner

Nurse Practitioner — Pediatrics, Critical Care

Code: 363LP0222X

20071425(MO)
Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

209011241(IL)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE

Class of 2013

Contact & Hours

Address
701 N 1ST ST, ANESTHESIA DEPT
SPRINGFIELD, IL 62781

Location

Practice Location

701 N 1ST ST, SPRINGFIELD, IL
(217) 788-3755

Quick Facts

NPI
1548443146
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
13

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