Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitalize IV Hydration and Wellness Clinc LLC

Organization Family Nurse Practitioner · NPI 1871369272

Revitalize IV Hydration and Wellness Clinc LLC is a Family Nurse Practitioner in Jonesboro, Arkansas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2704 Phillips Dr Ste A
Jonesboro, AR 72401-7399
Phone: (870) 955-5701
Fax: (302) 209-5619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1871369272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felica Johnson — Fnp · (870) 273-4164
NPI enumeratedNovember 28, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address2704 Phillips Dr Ste A, Jonesboro, AR 72401-7399

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