IndividualActive
Pamela Jacobs, APRN
NPI 1700623576 · Primary Care Nurse Practitioner · Enosburg Falls, VT
Provider details
- NPI number
- 1700623576
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 101.0137220 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
382 Main St
Enosburg Falls, VT 05450-6008
Phone: (802) 933-5831
Fax: (802) 933-2362
Approximate (ZIP-level) locationGet directions
Mailing address
382 Main St
Enosburg Falls, VT 05450-6008
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.