Individual provider · Type 1 NPI

Vickie Rochelle Mack

Licensed Practical Nurse · Jackson, MS

NPI number 1912088055 Active

Practice location

811 Alvaredo St
Jackson, MS 39204-5317

Call (601) 372-8941 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP122165 (MS)

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.

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About NPI 1912088055

Vickie Rochelle Mack's National Provider Identifier is 1912088055, issued on Oct 17, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jackson, MS. The record was last updated on Jul 9, 2007.