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NICOLE M MACK
NPI 1386031094
Technician - Personal Care Attendant in Canton, MS

Active since April 20, 2015
618 W ACADEMY ST, CANTON, MS 39046(769) 251-3329 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole M Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE M MACK (NPI 1386031094) is an individual personal care attendant in Canton, Mississippi and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1386031094
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameNICOLE M MACK
Location Address618 W ACADEMY STCanton, MS 39046-4225
Mailing Address618 W Academy StCanton, MS 39046-4225 · (769) 251-3329
Phone(769) 251-3329
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1386031094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedAdult CompanionTaxonomy 372600000X
618 W ACADEMY ST, Canton, MS 39046
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Other Names 1

Former Name (1)Nicole M Johnson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mack's NPI number?

The NPI number for Nicole Mack is 1386031094. It was assigned to this individual provider in the NPPES registry on April 20, 2015. The provider is also known as Nicole M Johnson.

Where is Nicole Mack located?

Nicole Mack practices at 618 W Academy St, Canton, MS 39046. The listed phone number is (769) 251-3329.

What is Nicole Mack's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Nicole Mack was last updated on February 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.