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 provides Family Nurse Practitioner services 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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