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BETHANY ANDREA JACKSON NURSE
NPI 1770328502
Licensed Practical Nurse in Chicopee, MA

Active since June 25, 2024
1109 GRANBY RD, CHICOPEE, MA 01020(823) 243-8255 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bethany Andrea Jackson Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY ANDREA JACKSON NURSE (NPI 1770328502) is an individual licensed practical nurse in Chicopee, Massachusetts, licensed in Massachusetts (LN88992) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1770328502
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBETHANY ANDREA JACKSONCredential: NURSE
Location Address1109 GRANBY RDChicopee, MA 01020-1568
Mailing Address1109 Granby RdChicopee, MA 01020-1568 · (833) 243-8255
Phone(823) 243-8255
Sole ProprietorYes
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1770328502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN88992
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1109 GRANBY RD, Chicopee, MA 01020
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH S. NISSENBAUM PH.D
Psychologist (Clinical)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 523-0900
BRENDAN J HEALY
Counselor (Mental Health)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (822) 243-8255
JASON RENE PLOURDE LCSW
Social Worker (Clinical)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255
LEAONARD MELNICK LICSW
Social Worker
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 523-0900
AMANDA MCKEON
Registered Nurse
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 887-2947
MICHAEL A CORRIVEAU LPN
Licensed Practical Nurse
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 213-5668
FADHEL ANNASIRY
Counselor (Mental Health)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255
ARIANA MARIE WORD
Counselor
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Jackson's NPI number?

The NPI number for Bethany Jackson is 1770328502. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Bethany Jackson located?

Bethany Jackson practices at 1109 Granby Rd, Chicopee, MA 01020. The listed phone number is (823) 243-8255.

What is Bethany Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Bethany Jackson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.