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MARY BETH JACOBS LPN
NPI 1821804212
Licensed Practical Nurse in Mount Holly, VT

Active since December 10, 2024
680 RUSSELLVILLE RD, MOUNT HOLLY, VT 05758(802) 345-6559 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 16, 2026, Dec 10, 2024 (2 updates tracked since 2024).

About Mary Beth Jacobs Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BETH JACOBS LPN (NPI 1821804212) is an individual licensed practical nurse in Mount Holly, Vermont, licensed in Vermont (025.0135719) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1821804212
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY BETH JACOBSCredential: LPN
Location Address680 RUSSELLVILLE RDMount Holly, VT 05758-9583
Mailing Address1642 Vt Route 103 NMount Holly, VT 05758-9556 · (802) 345-6559
Phone(802) 345-6559
Sole ProprietorYes
Enumeration DateDecember 10, 2024
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1821804212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in VT · 025.0135719
Definition

A licensed practical nurse 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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 026.0155457 (VT)
680 RUSSELLVILLE RD, Mount Holly, VT 05758
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Frequently Asked Questions

What is Mary Jacobs's NPI number?

The NPI number assigned to this healthcare provider is 1821804212, enumerated as an "individual" on December 10, 2024.

Where is the provider located?

The provider is located at 680 RUSSELLVILLE RD MOUNT HOLLY, VT 05758 and the phone number is (802) 345-6559.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.