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Ms. Vickie Rochelle Mack
Licensed Practical Nurse in Jackson, Mississippi
NPI 1912088055

Vickie Rochelle Mack is a Licensed Practical Nurse based in Jackson, MS. Vickie Rochelle Mack practices in Jackson, MS. The NPI Number for Vickie Rochelle Mack is 1912088055 and holds a License No. P122165 (Mississippi).

The current practice location address for Vickie Rochelle Mack is 811 Alvaredo St, Jackson, MS and can be reached out via phone at 601-372-8941. You can also correspond with Vickie Rochelle Mack through the mailing address at 811 ALVAREDO ST, JACKSON, MS - 39204-5317 (mailing address contact number: 601-372-8941).

Location: 811 Alvaredo St, Jackson, MS, 39204-5317
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Provider Profile Details
NPI Number
1912088055
Provider Name
Vickie Rochelle Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
811 Alvaredo St, Jackson, MS, 39204-5317
Phone Number
601-372-8941
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770172 05 MS
institution
Provider Business Practice Location Address Details
Address
811 Alvaredo St
City
State
Zip
39204-5317
Phone Number
601-372-8941
Fax Number
person
Provider Business Mailing Address Details
Address
811 Alvaredo St
City
State
Zip
39204-5317
Phone Number
601-372-8941
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
P122165 (Mississippi)
Definition
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.
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