Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Andrea Jackson, NURSE

Individual provider Licensed Practical Nurse · NPI 1770328502

Bethany Andrea Jackson, NURSE is a Licensed Practical Nurse in Chicopee, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

1109 Granby Rd
Chicopee, MA 01020-1568
Phone: (823) 243-8255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LN88992 (MA)

Record details

NPI number1770328502
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE
Sole proprietorYes
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Other providers in Chicopee