Jennings, Maketta

Jennings, Maketta is an sole proprietor health care provider with primary practice located at 8677 Halls Ferry Rd , Vicksburg MS 39180-7047. She recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Radiology, Mobile. Ambulatory Health Care Facilities / Radiology, Mobile is her primary health care specialty. Jennings, Maketta can be contacted via phone (601) 618-8632.

Contact Information

Primary practice address
8677 Halls Ferry Rd Vicksburg MS 39180-7047
Phone: (601) 618-8632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Mississippi
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X Mississippi

Profile Details

NPI number 1720551740
LBN Legal business name Jennings, Maketta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2019
Last updated Jun 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers