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

Maketta Jennings

Individual provider In Home Supportive Care Agency · NPI 1720551740

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 Rd
Vicksburg, MS 39180-7047
Phone: (601) 618-8632
Show map & directions

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 number1720551740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address2160 S Frontage Rd Apt 17d, Vicksburg, MS 39180-5181

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