Bethany A Jackson, NURSE
Licensed Practical Nurse in Chicopee, Massachusetts
1770328502- Practice location
- 1109 Granby RD, Chicopee, MA 01020-1568
- Phone
- 823-243-8255
- Fax
- —
- Last updated
- June 25, 2024
Bethany Andrea Jackson is a Licensed Practical Nurse based in Chicopee, MA. Bethany Andrea Jackson practices in Chicopee, MA and has the professional credentials of NURSE. The NPI Number for Bethany Andrea Jackson is 1770328502 and holds a License No. Ln88992 (MA). The current practice location address for Bethany Andrea Jackson is 1109 Granby RD, Chicopee, MA 01020-1568 and can be reached out via phone at 823-243-8255.
Provider Profile Details
- NPI Number
- 1770328502
- Provider Name
- Bethany Andrea Jackson
- Credential
- NURSE
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1109 Granby RD, Chicopee, MA 01020-1568
- Phone Number
- 823-243-8255
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 25, 2024
- Last Update Date
- June 25, 2024
- Certification Date
- June 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1109 Granby RD
Chicopee, MA 01020-1568 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-1568
- Phone Number
- 823-243-8255
Provider Business Mailing Address Details
- Address
- 1109 Granby RD
Chicopee, MA 01020-1568 - City
- Chicopee
- State
- MA
- Zip
- 01020-1568
- Phone Number
- 833-243-8255
License Information
- License Number
- Ln88992
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bethany A Jackson, NURSE?
The NPI number of Bethany A Jackson, NURSE is 1770328502. It was assigned on June 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Bethany A Jackson, NURSE?
Bethany A Jackson, NURSE is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number Ln88992.
Where does Bethany A Jackson, NURSE practice?
The practice location is 1109 Granby RD, Chicopee, MA 01020-1568. The office can be reached at 823-243-8255 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770328502 directly on the NPPES registry website.