Individual
GAYLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
409 JEFFERSON AVE SW, WATERTOWN, MN 55388-9250
(952) 955-2208
(952) 955-1114
Mailing address
130 JEFFERSON AVE, NEW GERMANY, MN 55367-4704
(903) 274-6400
(952) 955-1114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2517391
MN
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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