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Active NPI 1770328502 Individual Practitioner Female Practitioner

Bethany Andrea Jackson , NURSE

Licensed Practical Nurse • Chicopee, MA

Professional Overview & Biography Verified Profile Summary

Bethany Jackson, NURSE is a registered healthcare professional specializing in Licensed Practical Nurse in Chicopee, MA. Practice services are available at 1109 GRANBY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1109 Granby Rd

Chicopee, MA 010201568

Telephone 8232438255
Associated Practice Facility / Clinic
🏢 Mwa,pc Facility NPI 1609821990

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Chicopee, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Chicopee, MA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA LN88992

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Judith Nissenbaum , PhD

Psychologist - Clinical

NPI 1023025657

Doctor of Philosophy (Ph.D.)

Brendan Healy

Counselor - Mental Health

NPI 1033914817
Jason Plourde , LCSW

Social Worker - Clinical

NPI 1073277745

Licensed Clinical Social Worker

NPI 1073520672

Licensed Independent Clinical Social Worker

Amanda Mckeon

Registered Nurse

NPI 1083421051
Michael Corriveau , LPN

Licensed Practical Nurse

NPI 1124728175

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2024

Registered at 1109 GRANBY RD, CHICOPEE, MA 010201568 (Tel: 8232438255)

📍
Updated Business Mailing Address June 25, 2024

Registered at 1109 GRANBY RD, CHICOPEE, MA 010201568 (Tel: 8332438255)

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as BETHANY JACKSON, NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Licensed Practical Nurse (License #LN88992 in MA)

🟢
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770328502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: June 25, 2024
Sole Proprietor: Yes

Mailing Address

1109 Granby Rd

Chicopee, MA 010201568

Phone: 8332438255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.