IndividualActive
Angela Warnock
NPI 1255163473 · Licensed Practical Nurse · Vicksburg, MS
Provider details
- NPI number
- 1255163473
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 318463 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
Approximate (ZIP-level) locationGet directions
Mailing address
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Registry dates
- Enumerated
- 2024-08-16
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.