Individual provider · Type 1 NPI
Mary Beth Jacobs, LPN
Licensed Practical Nurse · Mount Holly, VT
Practice location
680 Russellville Rd
Mount Holly, VT 05758-9583
Mailing address
1642 Vt Route 103 N
Mount Holly, VT 05758-9556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 025.0135719 (VT) |
| Registered Nurse | 163W00000X | 026.0155457 (VT) |
Licensed Practical Nurse: 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.
About NPI 1821804212
Mary Beth Jacobs, LPN's National Provider Identifier is 1821804212, issued on Dec 10, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mount Holly, VT. The record was last updated on Jan 16, 2026.