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COURTNEY ELYSE JACKSON
NPI 1508494600
Nurse Practitioner - Family in Austin, TX

Active since April 01, 2020
515 S CONGRESS AVE STE 104, AUSTIN, TX 78704(512) 275-6448 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Apr 1, 2020 (2 updates tracked since 2020).

About Courtney Elyse Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY ELYSE JACKSON (NPI 1508494600) is an individual family provider in Austin, Texas, licensed in Texas (1021116) and active in the NPI registry since April 2020. She maintains a secondary practice location in Bowling Green.

NPPES Registry Identity

NPI1508494600
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY ELYSE JACKSON
Location Address515 S CONGRESS AVE STE 104Austin, TX 78704-1776
Mailing Address2508 Scottsville Rd Ste 104Bowling Green, KY 42104-4400 · (270) 746-6330 · Fax (270) 904-6337
Phone(512) 275-6448
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1508494600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 1021116✔ Licensed in KY · 3013829
515 S CONGRESS AVE STE 104, Austin, TX 78704
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Other Names 1

Former Name (1)Courtney Kirkwood

Secondary Practice Location 1

Location 12508 Scottsville Rd Ste 104Bowling Green, KY 42104-4400 · Phone (270) 746-6330 · Fax (270) 904-6337

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOMI STOOKSBERRY GARZA FNP-C
Nurse Practitioner (Family)
515 S CONGRESS AVE STE 104
AUSTIN, TX 78704
Travis County (512) 931-3227
IVITAMIN SERVICES
Clinic/Center (Infusion Therapy)
515 S CONGRESS AVE STE 104
AUSTIN, TX 78704
Travis County (512) 275-6448
KELSEY HILL
Nurse Practitioner
515 S CONGRESS AVE STE 104
AUSTIN, TX 78704
Travis County (512) 275-6448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Jackson's NPI number?

The NPI number for Courtney Jackson is 1508494600. It was assigned to this individual provider in the NPPES registry on April 1, 2020. The provider is also known as Courtney Kirkwood.

Where is Courtney Jackson located?

Courtney Jackson practices at 515 S Congress Ave Ste 104, Austin, TX 78704. The listed phone number is (512) 275-6448.

What is Courtney Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Courtney Jackson was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.