Individual provider · Type 1 NPI
Courtney Elyse Jackson
Family Nurse Practitioner · Austin, TX
NPI number
1508494600
Active
Practice location
515 S Congress Ave Ste 104
Austin, TX 78704-1776
Mailing address
2508 Scottsville Rd Ste 104
Bowling Green, KY 42104-4400
Other practice locations
- 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 · (270) 746-6330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013829 (KY) |
| Family Nurse Practitioner Primary | 363LF0000X | 1021116 (TX) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1508494600
Courtney Elyse Jackson's National Provider Identifier is 1508494600, issued on Apr 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austin, TX. The record was last updated on May 12, 2025.