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

Bethany Rose Jackson, DO

Individual provider Family Medicine Physician · NPI 1932640265

Bethany Rose Jackson, DO is a Family Medicine Physician in Fresno, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 443-2682
Fax: (559) 443-2681
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Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence 20A21130 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A21130 (CA)

Record details

NPI number1932640265
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

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