Maketta Jennings

Individual Active
NPI 1720551740
Mobile Radiology Clinic/Center Vicksburg, MS

Maketta Jennings holds NPI 1720551740, with a primary taxonomy of mobile radiology clinic/center and a practice location in Vicksburg, MS. The number was issued on January 3, 2019 and the NPPES record was last updated on February 21, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Mobile Radiology Clinic/Center Primary 261QR0208X (MS)
In Home Supportive Care Agency 253Z00000X (MS)

Practice location

8677 Halls Ferry Rd
Vicksburg, MS 39180-7047
Phone: (601) 618-8632

Local context

Active NPPES records list 1 provider with mobile radiology clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 10 in Mississippi and 1,226 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Maketta Jennings
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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