Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Michelle Legions-Holden, AGACNP

Individual provider Registered Nurse First Assistant · NPI 1184353096

Crystal Michelle Legions-Holden, AGACNP is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2021, 5 years ago. Practices with West Tennessee Medical Group Inc, a 190-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
Specialties on file
2

Practice location Address checks out

27A Medical Center Dr
Jackson, TN 38301-3949
Phone: (731) 524-3310
Fax: (731) 424-4109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 31707 (TN)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 83 (TN)

Record details

NPI number1184353096
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice West Tennessee Medical Group Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson