Bethany Andrea Jackson, NURSE
NPI #1770328502 in Chicopee, Massachusetts
Provider Information
- NPI Number
- 1770328502
- Entity Type
- Individual
- Name
- Bethany Andrea Jackson, NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- NURSE
- Enumeration Date
- Jun 25, 2024
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 1109 GRANBY RD
- City
- Chicopee
- State
- Massachusetts
- ZIP Code
- 01020-1568
- Phone
- (823) 243-8255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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