Vickie Rochelle Mack in Jackson - Licensed Practical Nurse
Vickie Rochelle Mack - NPI 1912088055
Vickie Rochelle Mack is a Licensed Practical Nurse in Jackson, Mississippi. Vickie Rochelle Mack practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Vickie Rochelle Mack is 1912088055. The last update date is 2007-07-09.
Vickie Rochelle Mack's current location address is 811 Alvaredo St, Jackson, Mississippi. You can contact this provider via phone number 6013728941. The mailing address for Vickie Rochelle Mack is 811 Alvaredo St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vickie Rochelle Mack |
|---|---|
| Address | 811 Alvaredo St, Jackson, Mississippi |
| Phone Number | 6013728941 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1912088055 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 811 Alvaredo St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392045317 |
| Phone Number | 6013728941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | P122165 |
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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 r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770172 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Vickie Rochelle Mack by the Centers for Medicare & Medicaid Services?
The Vickie Rochelle Mack has been issued the NPI (National Provider Identifier) 1912088055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Vickie Rochelle Mack is located?
The Vickie Rochelle Mack is situated at the following address: 811 Alvaredo St, Jackson, MS, 392045317.
What is Vickie Rochelle Mack's area of expertise and its corresponding taxonomy classification?
The Vickie Rochelle Mack's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Vickie Rochelle Mack receive its 1912088055?
The Vickie Rochelle Mack was issued its 1912088055 on 2006-10-17, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Vickie Rochelle Mack most recently updated or revised?
The details related to Vickie Rochelle Mack, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.