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Bethany Jackson
NPI 1215773585 · on the registry since 2024 · sole proprietor
Practice
- Address
- 175 Franks Ave
Wadsworth, OH 44281 - Phone
- (330) 814-2101
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 172A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio