HOLLY JACKSON

SOUTHAVEN, MS
NPI1720575392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  901371)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
HOLLY JACKSON CRNA
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-4333
Mailing Address
HOLLY JACKSON CRNA
7956 VAUGHN RD # 165
MONTGOMERY, AL 36116-6625
Phone number: 888-233-1493