Individual provider · Type 1 NPI

Holly Jackson, CRNA

Certified Registered Nurse Anesthetist · Southaven, MS

NPI number 1720575392 Active

Practice location

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Fax (855) 999-1345

Mailing address

7956 Vaughn Rd Ste 165
Montgomery, AL 36116-6819

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X901371 (MS)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1720575392

Holly Jackson, CRNA's National Provider Identifier is 1720575392, issued on Apr 18, 2018. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Southaven, MS. The record was last updated on Sep 23, 2026.