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

Individual provider Certified Registered Nurse Anesthetist · NPI 1720575392

Holly Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Southaven, Mississippi. Qualified in 2005, 21 years ago. Practices with American Anesthesiology of Mississippi LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2018
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 772-4333
Fax: (855) 999-1345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901371 (MS)

Record details

NPI number1720575392
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 18, 2018
Last updated in NPPESApril 18, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice American Anesthesiology Of Mississippi Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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