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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.

Location: 811 Alvaredo St, Jackson, MS, 39204-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Jackson
State
Mississippi
Zip
39204-5317
Phone Number
601-372-8941
Fax Number
person
Provider Business Mailing Address Details
Address
811 Alvaredo St
City
Jackson
State
Mississippi
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
164W00000X
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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