MEDICARE: JENNIFER G. HUMPHRIES LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	025.0069058	VT

General Provider Information

NPI Number	:	1043520448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER G. HUMPHRIES LPN

Provider Business Mailing Address
First Line	:	PO BOX 202
Second Line	:
City	:	PLAINFIELD
State	:	VT
Zip	:	05667-0202
Country	:	US
Telephone Number	:	802-454-1915
Fax Number	:

Provider Business Practice Location Address
First Line	:	149 SOUTH BAYLEY HAZEN RD.
Second Line	:	HOME ACRES FARM
City	:	RYEGATE
State	:	VT
Zip	:	05042
Country	:	US
Telephone Number	:	802-584-4679
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2010
Last Update Date	:	10/19/2010

Similar Medicare Providers

1063447340 — JOHN DALE PATTON MD
Practice Location Address:

991 BALEN HAZEN RD
RYEGATE, VT
05042

Practice Phone: 802-584-3928
Practice Fax:

1356556260 — MELISSA MARCUM LPN
Practice Location Address:

149 S BAILEY HAZEN RD
RYEGATE, VT
05042

Practice Phone: 802-584-4679
Practice Fax:

1215139837 — MRS. LINDA MAE HOFFMANN RN
Practice Location Address:

149 S BAILEY HAZEN RD , HEATH & GRANT NELSON
E RYEGATE, VT
05042

Practice Phone: 802-584-4679
Practice Fax:

1881876688 — HOLLY LEVIE RN
Practice Location Address:

149 SOUTH BAILEY HAZEN RD
RYEGATE, VT
05042-0000

Practice Phone: 802-584-4679
Practice Fax:

1568737328 — LUKE GAILLARD
Practice Location Address:

324 SOUTH BAYLEY-HAZEN RD
RYEGATE, VT
05042

Practice Phone: 802-584-4679
Practice Fax:

1952744047 — ABIGAIL JAN WIRTH MA, CCC-SLP
Practice Location Address:

55 DARGIE LN
EAST RYEGATE, VT
05042-8970

Practice Phone: 802-757-3469
Practice Fax:

Directions to “ JENNIFER G. HUMPHRIES LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.