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MAKETTA JENNINGS
NPI 1720551740
Clinic/Center - Radiology, Mobile in Vicksburg, MS

Active since January 03, 2019
8677 HALLS FERRY RD, VICKSBURG, MS 39180(601) 618-8632 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 21, 2025, Jan 3, 2019 (2 updates tracked since 2019).

About Maketta Jennings NPPES

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

MAKETTA JENNINGS (NPI 1720551740) is an individual radiology, mobile provider in Vicksburg, Mississippi and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1720551740
Entity TypeIndividualFemale
Primary Taxonomy261QR0208X
Provider Legal NameMAKETTA JENNINGS
Location Address8677 HALLS FERRY RDVicksburg, MS 39180-7047
Mailing Address2160 S Frontage Rd Apt 17dVicksburg, MS 39180-5181 · (601) 618-8632
Phone(601) 618-8632
Sole ProprietorYes
Enumeration DateJanuary 3, 2019
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1720551740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
8677 HALLS FERRY RD, Vicksburg, MS 39180
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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 Maketta Jennings's NPI number?

The NPI number for Maketta Jennings is 1720551740. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Maketta Jennings located?

Maketta Jennings practices at 8677 Halls Ferry Rd, Vicksburg, MS 39180. The listed phone number is (601) 618-8632.

What is Maketta Jennings's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Maketta Jennings was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.