Organization
IVITAMIN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY JACKSON FNP-C (NURSE PRACTITIONER)
(512) 275-6448
Entity
Organization
Contact information
Practice address
515 S CONGRESS AVE STE 104, AUSTIN, TX 78704-1776
(512) 275-6448
Mailing address
515 S CONGRESS AVE STE 104, AUSTIN, TX 78704-1776
(512) 275-6448
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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