Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY JACKSON, CRNA
Active Sole ProprietorHOLLY JACKSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SOUTHAVEN, Mississippi. NPI 1720575392 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1720575392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2018 (8.3071428197767 yrs)
- Last Updated
- Apr 18, 2018
- License
-
901371 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7601 SOUTHCREST PKWYSOUTHAVEN, MS, 386714739Browse MS providers · Browse ZIP 38671
- Phone
- 6627724333
- Fax
- 8559991345
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| BRIAN DOUGLAS HAAK | CRNA | 1730141771 |
| MRS. DEBRA ANN OSWALT | CRNA | 1891725057 |
| MICHAEL SCOTT BERGMAN | CRNA | 1972517977 |
| IRA ANDRE RICHARDSON | CRNA | 1558375279 |
| ROBERT LAWRENCE RYAN | CRNA | 1215039979 |
| GREGORY KEITH LAMBERT | CRNA | 1548331101 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.