Individual
DR. BETHANY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 ANA DR, FLORENCE, AL 35630-1731
(256) 284-7280
(256) 284-7284
Mailing address
PO BOX 490, FLORENCE, AL 35631-0490
(256) 284-7280
(256) 284-7284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156754
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
33311
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188253
—
AL
Enumeration date
06/03/2009
Last updated
02/04/2026
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