Waylon Colby Jackson
CRNA, CPNP-AC, CCRN | Nurse Practitioner | 12+ years Exp
701 N 1st St, Springfield
Illinois, 62781-0001
217-788-3755
Waylon Colby Jackson is a Springfield, Illinois based nurse practitioner with 12 years of experience in Nurse Practitioner. He completed his graduation from Southern Illinois University School Of Medicine in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Waylon Colby Jackson is 209011241 for Nurse Practitioner in Illinois. His current practice location is 701 N 1st St, Springfield. Patients can reach him at 217-788-3755. Waylon Colby Jackson is CRNA, CPNP-AC, CCRN with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1548443146.
Waylon Colby Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Waylon Colby Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Waylon Colby Jackson |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | CRNA, CPNP-AC, CCRN |
| Experience: | 12+ years |
| Medical School Attended: | Southern Illinois University School Of Medicine |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 701 N 1st St, Springfield,
Illinois, 62781-0001 |
| Phone: | 217-788-3755 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3375776206 |
| Enrollment ID: | I20140430001452 |
| NPI Number: | 1548443146 |
| NPI Enumeration Date: | 06 Dec, 2007 |
| NPI Last Update On: | 31 Oct, 2016 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waylon Colby Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 209011241 | Nurse Practitioner | Illinois | Primary | |
| 2002014595 | Registered Nurse | Missouri | Secondary | |
| 20071425 | Pediatrics, Critical Care | Missouri | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (140148) | Springfield, IL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Waylon Colby Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Memorial Medical Center (7315835949) | 118 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Waylon Colby Jackson
50 Frontier Lake Dr,
Springfield, Illinois |
| Zip: | 62707-7726 |
| Phone Number: | 618-977-1719 |
Patients can reach Waylon Colby Jackson at
701 N 1st St, Springfield, Illinois or can
call to book an appointment on 217-788-3755.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.