Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON PAUL PETTUS
Active Sole ProprietorDriver · MABELVALE, AR
Registration Details
- NPI Number
- 1558056481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2023 (3.044304429505 yrs)
- Last Updated
- Apr 6, 2023
- License
-
942803758 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16 WHISPERING OAK DRMABELVALE, AR, 721032065Browse AR providers · Browse ZIP 72103
- Phone
- 5014005306
- Primary Specialty
-
Driver
172A00000X
- Additional Specialty
- Driver
Other Driver Providers in MABELVALE, AR
| Name | Credential | NPI |
|---|---|---|
| MS. CASARA NICHOLE WILLIAMS | — | 1740582279 |
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.