COURTNEY ELYSE JACKSON (NPI# 1508494600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508494600 |
| Entity Type | Individual |
| Full Name | COURTNEY ELYSE JACKSON |
| Other Name | COURTNEY KIRKWOOD |
| Practice Address |
2508 Scottsville Rd Ste 104 Bowling Green KY 42104-4400 |
| Practice Telephone | 2707466330 |
| Practice Fax Number | 2709046337 |
| Mailing Telephone | 2707466330 |
| Mailing Fax Number | 2709046337 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013829 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394938 | Courtney Jackson | Technician | 497 Candlestick Ct Apt B, Galloway, OH 43119-9216 | 2020-10-20 |
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1912318429 | Courtney Jackson | Technician | 4134 Woodmont Dr, Houston, TX 77045-3330 | 2014-05-19 |
| 1760814396 | Courtney Danielle Jackson | Counselor | 534 E Basin St, Norristown, PA 19401-4068 | 2013-08-06 |
| 1487930723 | Courtney Jackson | Specialist/Technologist | 19424 Fallow Ln, Edinburg, TX 78542-1038 | 2011-11-01 |
| 1689824302 | Courtney Brooke Jackson | Naturopath | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2008-09-30 |
| 1063606846 | Courtney Lara Jackson | Counselor | 1801 Vincente St, San Francisco, CA 94116-2923 | 2007-09-05 |
| 1164029245 | Courtney Jackson | Speech-Language Pathologist | 65 Court St, Brooklyn, NY 11201-4916 | 2020-10-02 |
| 1457966509 | Courtney Tamara Jackson | Nurse Practitioner | 407 Cowart Ave, Valdosta, GA 31602-2635 | 2020-09-14 |
| 1013533926 | Courtney Marie Jackson | Family Medicine | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2020-06-17 |
| Street Address |
2508 SCOTTSVILLE RD STE 104 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255769279 | Kyra Loraine Sharp | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2013-10-30 |
| 1578162046 | Shelby Johnson | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-10-25 |
| 1831721018 | Kayla J. Smith | Family Medicine | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-02-06 |
| 1760044275 | Brittanie Karoline Mccoy | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2019-07-03 |
| 1023580487 | Amy Hudson | Registered Nurse | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2018-12-26 |
| 1700304490 | Morgan Elizabeth Lee | Physician Assistant | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462211 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2945 Scottsville Rd Ste E32, Bowling Green, KY 42104-6514 | 2020-09-17 |
| 1447885009 | Kathleen Pitt | Nurse Practitioner | 1982 Cross Willows Ct, Bowling Green, KY 42104-4731 | 2020-03-04 |
| 1225678782 | Michael Curtis | Nurse Practitioner | 661 Us 31w Byp Ste H, Bowling Green, KY 42101-4968 | 2020-01-13 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1932750213 | Carmen Desiree Hughes | Nurse Practitioner | 1325 Andrea St Ste 100, Bowling Green, KY 42104-5853 | 2019-09-26 |
| 1558929117 | Amber D Whitford | Nurse Practitioner | 406 S Main Cross St Unit A, Bowling Green, MO 63334-2239 | 2019-05-30 |
| 1306333828 | Amy Lynn Ramlow | Nurse Practitioner | 21885 Carter Rd, Bowling Green, OH 43402-9621 | 2018-04-19 |
| 1508380478 | Susan Kay Staples | Nurse Practitioner | 944 Searcy Way, Bowling Green, KY 42103-7168 | 2017-08-01 |
| 1437507860 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 350 Park St Ste 106, Bowling Green, KY 42101-1784 | 2016-05-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on COURTNEY ELYSE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.