Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nickolle Lynn Mack

Individual provider Personal Care Attendant · NPI 1841893096

Nickolle Lynn Mack is a Personal Care Attendant in Elizabeth, West Virginia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

74 Senior Cir
Elizabeth, WV 26143-2614
Phone: (304) 275-3158
Fax: (304) 275-4631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1841893096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 18, 2020
Mailing addressPo Box 370, Elizabeth, WV 26143-0370

Other providers in Elizabeth