Jackson, Bethany Andrea

Jackson, Bethany Andrea is an sole proprietor health care provider with primary practice located at 1109 Granby Rd , Chicopee MA 01020-1568. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Bethany Andrea can be contacted via phone (823) 243-8255.

Contact Information

Primary practice address
1109 Granby Rd Chicopee MA 01020-1568
Phone: (823) 243-8255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LN88992 Massachusetts

Profile Details

NPI number 1770328502
LBN Legal business name Jackson, Bethany Andrea
Credentials NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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