Gayla Jackson, RN is a
Registered Nurse based in Watertown, Minnesota. Gayla Jackson is licensed to practice in Minnesota (license number 2517391) and her current practice location is
409 Jefferson Ave Sw, Watertown, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 955-2208.
NPI number for Gayla Jackson is 1063348654 and her current mailing address is 130 Jefferson Ave, New Germany, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063348654.
Provider's Profile
| Full Name | Gayla Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 409 Jefferson Ave Sw, Watertown, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063348654
- Provider Enumeration Date: 06/22/2026
- Last Update Date: 06/22/2026
Medical Identifiers
Medical identifiers for Gayla Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063348654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 2517391 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gayla Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gayla Jackson, RN 130 Jefferson Ave, New Germany, MN 55367-4704 Ph: (903) 274-6400 | Gayla Jackson, RN 409 Jefferson Ave Sw, Watertown, MN 55388-9250 Ph: (952) 955-2208 |
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