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Contact Information

CRYSTAL M LEGIONS HOLDEN, AGACNP
27A MEDICAL CENTER DR
JACKSON, TN38301-3949
 Phone: 731-524-3310
 Fax: 731-424-4109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for CRYSTAL M LEGIONS HOLDEN · (Female)

NPI Number 1184353096
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 06/07/2022
Last updated 05/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 31707
  • TN License # 83
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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