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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAKETTA JENNINGS

Active Sole Proprietor

MAKETTA JENNINGS is a Radiology, Except MRI healthcare provider located in VICKSBURG, Mississippi. NPI 1720551740 is currently active in the NPPES registry. Verify at CMS.

Radiology, Except MRI · VICKSBURG, MS

Registration Details

NPI Number
1720551740
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2019 (7.6290449689959 yrs)
Last Updated
Feb 21, 2025
Sole Proprietor
Yes

Practice Information

Address
8677 HALLS FERRY RD
VICKSBURG, MS, 391807047
Browse MS providers · Browse ZIP 39180
Phone
6016188632
Primary Specialty
Radiology, Except MRI
261QR0208X
Additional Specialty
Radiology, Except MRI
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.