Maketta Jennings
Maketta Jennings is an In Home Supportive Care Agency in Vicksburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
8677 Halls Ferry RdVicksburg, MS 39180-7047
Phone: (601) 618-8632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mobile Radiology Clinic/Center (primary) | Taxonomy 261QR0208X (MS) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X (MS) |
Record details
| NPI number | 1720551740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2019 |
| Last updated in NPPES | February 21, 2025 |
| Certification date | February 21, 2025 |
| Mailing address | 2160 S Frontage Rd Apt 17d, Vicksburg, MS 39180-5181 |
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