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MS. VICKIE ROCHELLE MACK
NPI 1912088055
Licensed Practical Nurse in Jackson, MS

Active since October 17, 2006
811 ALVAREDO ST, JACKSON, MS 39204(601) 372-8941 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Vickie Rochelle Mack NPPES

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

MS. VICKIE ROCHELLE MACK (NPI 1912088055) is an individual licensed practical nurse in Jackson, Mississippi, licensed in Mississippi (P122165) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1912088055
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. VICKIE ROCHELLE MACK
Location Address811 ALVAREDO STJackson, MS 39204-5317
Mailing Address811 Alvaredo StJackson, MS 39204-5317 · (601) 372-8941
Phone(601) 372-8941
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1912088055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · P122165
Definition
A licensed practical nurse 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.
811 ALVAREDO ST, Jackson, MS 39204
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Other Names 1

Professional Name (2)Ms. Vickie Rochelle Mack Lpn

Other Identifiers 1

Medicaid00770172MS

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 Vickie Mack's NPI number?

The NPI number for Vickie Mack is 1912088055. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Ms. Vickie Rochelle Mack Lpn.

Where is Vickie Mack located?

Vickie Mack practices at 811 Alvaredo St, Jackson, MS 39204. The listed phone number is (601) 372-8941.

What is Vickie Mack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Vickie Mack was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.