Holly Jackson, CRNA
Certified Registered Nurse Anesthetist · Southaven, MS
Holly Jackson, CRNA is a certified registered nurse anesthetist with a practice address in Southaven, Mississippi, and NPI 1720575392, issued on Apr 18, 2018. Check the license (Mississippi 901371, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Holly Jackson
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 901371 MS
Self-reported in NPPES; status is on the state search - Practice location
- 7601 Southcrest Pkwy, Southaven, MS 38671
- Phone
- (662) 772-4333
- Enumerated
- Apr 18, 2018
- Record last updated
- Apr 18, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (855) 999-1345
- Medicare enrollment
- Enrolled (PECOS I20180814000453); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 840 in Mississippi → Look up another NPI →
Also registered at 7601 Southcrest Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Francis Agama, MDInternal Medicine Physician1710676952
- Ola AliStudent in an Organized Health Care Education/Training Program1992592067
- Sumaiya Amin, MDInternal Medicine Physician1821265356
- Chaitanya Are, MDHospitalist Physician1912173766
- Vicenda AugustinStudent in an Organized Health Care Education/Training Program1811684335
- Thomas BallardStudent in an Organized Health Care Education/Training Program1245975226
Verify Holly Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 901371Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- American Anesthesiology OF Mississippi LLCSouthaven, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Holly Jackson among 840 certified registered nurse anesthetist records in Mississippi
Holly Jackson, CRNA is one of 840 certified registered nurse anesthetist records with a practice address in Mississippi. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 75% of them.
- NPI issued2018 · 75% of these records are older, 22% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2005 · median 2011 among the 669 with a school on file
- Record last updated2018 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
22 certified registered nurse anesthetist records list a practice address in Southaven
They are 22 of the 1,123 NPPES records with a practice address in Southaven, and 840 certified registered nurse anesthetist records in Mississippi.
All 840 in Mississippi → Every provider in Southaven → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Michael Bergman, CRNASouthaven, MS 386711972517977
- Erica Goodrich, CRNASouthaven, MS 386711902287444
- Brian Haak, CRNASouthaven, MS 386711730141771
- Mary Hall, CRNASouthaven, MS 386711013145499
- Darron Johnson, CRNASouthaven, MS 386711760868004
- Gregory Lambert, CRNASouthaven, MS 386711548331101
- Angela McCoy, CRNASouthaven, MS 386711538394366
- Debra Oswalt, CRNASouthaven, MS 386711891725057
Common questions
What is Holly Jackson, CRNA's NPI number?
Holly Jackson, CRNA's National Provider Identifier (NPI) is 1720575392, issued on Apr 18, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Holly Jackson, CRNA located?
The NPPES record lists a practice address at 7601 Southcrest Pkwy, Southaven, MS, 38671. Phone: (662) 772-4333. Providers update this record themselves, so call before visiting.
How can I verify Holly Jackson, CRNA's license?
NPPES lists Mississippi license number 901371, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.