Jackson, Holly
Jackson, Holly is an sole proprietor health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jackson, Holly can be contacted via phone (662) 772-4333.Contact Information
Primary practice address
7601 Southcrest Pkwy
Southaven MS 38671-4739
Phone: (662) 772-4333
Fax: (855) 999-1345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 901371 | Mississippi |
Profile Details
| NPI number | 1720575392 |
|---|---|
| LBN Legal business name | Jackson, Holly |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2018 |
| Last updated | Apr 18th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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