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Waylon Colby Jackson
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NPI Number Detailed Information
Provider Information:
| Name: | Waylon Colby Jackson |
| Gender: | M |
| Provider License Number If Given: | 2002014595 |
NPI Information:
| NPI: | 1548443146 |
| Entity Type(Individual or Organization): | 1-ind |
| Enumeration Date: | 12/6/2007 |
| Last Update Date: | 10/31/2016 |
Provider Business Mailing Address:
| Address: | 50 FRONTIER LAKE DR Springfield, IL 62707 |
| Phone Number: | 6189771719 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 701 N 1ST ST Springfield, IL 62781 |
| Phone Number: | 2177883755 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 163WC0200X |
| Secondary (if any): | 363LP0222X |
| State: | IL |
Top Doctors in IL
About Waylon Colby Jackson
Waylon Colby Jackson ( WAYLON COLBY JACKSON ) is Definition Registered Nurse Physician in Springfield, IL.
The NPI Number for Waylon Colby Jackson is 1548443146.
The current location address for Waylon Colby Jackson is 701 N 1ST ST Springfield, IL 62781 and the contact number is 6189771719 and fax number is .
The mailing address for Waylon Colby Jackson is 50 FRONTIER LAKE DR Springfield, IL 62707- 2177883755 (mailing address contact number - 6189771719).
Definition to come...
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FAQs:
What is the NPI Number for Waylon Colby Jackson ?
Answer: The NPI Number for Waylon Colby Jackson is 1548443146
Where is Waylon Colby Jackson located?
Answer: Waylon Colby Jackson is located at 701 N 1ST ST Springfield, IL 62781.
What is the specialty for Waylon Colby Jackson ?
Answer: The Specialty of Waylon Colby Jackson is Definition Registered Nurse Physician.
Are there any online reviews for Waylon Colby Jackson ?
Answer: Not yet!
Are there any other health care providers in Springfield, IL?
Answer: Yes, there are given below...
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