Mary B Jacobs, LPN
Licensed Practical Nurse in Mount Holly, Vermont
1821804212- Practice location
- 680 Russellville RD, Mount Holly, VT 05758-9583
- Phone
- 802-345-6559
- Fax
- —
- Last updated
- January 16, 2026
Mary Beth Jacobs is a Licensed Practical Nurse based in Mount Holly, VT. Mary Beth Jacobs practices in Mount Holly, VT and has the professional credentials of LPN. The NPI Number for Mary Beth Jacobs is 1821804212 and holds a License No. 025.0135719 (VT). The current practice location address for Mary Beth Jacobs is 680 Russellville RD, Mount Holly, VT 05758-9583 and can be reached out via phone at 802-345-6559.
Provider Profile Details
- NPI Number
- 1821804212
- Provider Name
- Mary Beth Jacobs
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 680 Russellville RD, Mount Holly, VT 05758-9583
- Phone Number
- 802-345-6559
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 10, 2024
- Last Update Date
- January 16, 2026
- Certification Date
- January 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Russellville RD
Mount Holly, VT 05758-9583 - City
- Mount Holly
- State
- Vermont
- Zip
- 05758-9583
- Phone Number
- 802-345-6559
Provider Business Mailing Address Details
- Address
- 1642 Vt Route 103 N
Mount Holly, VT 05758-9556 - City
- Mount Holly
- State
- VT
- Zip
- 05758-9556
- Phone Number
- 802-345-6559
License Information
- License Number (1)
- 025.0135719
- License State (1)
- VT
- Taxonomy (1)
- Licensed Practical Nurse · 164W00000X · Primary
- License Number (2)
- 026.0155457
- License State (2)
- VT
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Licensed Practical Nurses near Mount Holly, VT
View all Licensed Practical Nurses in Mount Holly →Frequently Asked Questions
What is the NPI number of Mary B Jacobs, LPN?
The NPI number of Mary B Jacobs, LPN is 1821804212. It was assigned on December 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Mary B Jacobs, LPN?
Mary B Jacobs, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in VT under license number 025.0135719.
Where does Mary B Jacobs, LPN practice?
The practice location is 680 Russellville RD, Mount Holly, VT 05758-9583. The office can be reached at 802-345-6559 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821804212 directly on the NPPES registry website.