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

Courtney Elyse Jackson

Individual provider Family Nurse Practitioner · NPI 1508494600

Courtney Elyse Jackson is a Family Nurse Practitioner in Austin, Texas. Works from 2 locations. Licensed in Kentucky and Texas.

Licensed in
KY, TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

515 S Congress Ave Ste 104
Austin, TX 78704-1776
Phone: (512) 275-6448
Show map & directions

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

Additional practice locations (1)

  • 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 — (270) 746-6330

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1021116 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3013829 (KY)

Record details

NPI number1508494600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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