Ms Vickie Rochelle Mack, | |
811 Alvaredo St, Jackson, MS 39204-5317 | |
(601) 372-8941 | |
Not Available |
Full Name | Ms Vickie Rochelle Mack |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 811 Alvaredo St, Jackson, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912088055 | NPI | - | NPPES |
00770172 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | P122165 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Vickie Rochelle Mack, 811 Alvaredo St, Jackson, MS 39204-5317 Ph: (601) 372-8941 | Ms Vickie Rochelle Mack, 811 Alvaredo St, Jackson, MS 39204-5317 Ph: (601) 372-8941 |
Mr. George Woodson Gully Jr., LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr Ste 900, Jackson, MS 39216 Phone: 601-718-2468 | |
Denesha Spencer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr Ste 900, Jackson, MS 39216 Phone: 601-718-2468 | |
Christy L Davis, FNP Licensed Practical Nurse Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 204, Jackson, MS 39202 Phone: 601-973-1624 Fax: 601-973-1596 | |
Valeria Sims, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4795 Mcwillie Dr Ste 105, Jackson, MS 39206 Phone: 769-251-5602 | |
Myrtis Marie Harper, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 231 Mason Blvd, Jackson, MS 39212 Phone: 601-497-4861 Fax: 601-373-3716 | |
Shaneika Parker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr Ste 900, Jackson, MS 39216 Phone: 601-718-2468 | |
Mary Chikwendu Ananeme, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5906 Kristen Dr, Jackson, MS 39211 Phone: 601-519-9894 |