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MR. JAMIE KEITH PETTUS LPN
NPI 1417141920
Case Manager/Care Coordinator in Benton, AR

Active since August 29, 2007
6701 HIGHWAY 67 BLDG 70, BENTON, AR 72015(501) 315-3344(501) 303-3186 Get Directions Write a Review

NPPES record last updated: October 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jamie Keith Pettus Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMIE KEITH PETTUS LPN (NPI 1417141920) is an individual case manager/care coordinator provider in Benton, Arkansas and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1417141920
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JAMIE KEITH PETTUSCredential: LPN
Location Address6701 HIGHWAY 67 BLDG 70Benton, AR 72015-8909
Mailing Address6701 Highway 67 Bldg 70Benton, AR 72015-8909 · (501) 315-3344 · Fax (501) 303-3186
Phone(501) 315-3344
Fax(501) 303-3186
Sole ProprietorNo
Enumeration DateAugust 29, 2007
Last NPPES UpdateOctober 12, 2009
✔ NPI 1417141920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License L38028 (AR)
6701 HIGHWAY 67 BLDG 70, Benton, AR 72015
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE FULLBRIGHT RECOVERY ASSISTANT
Case Manager/Care Coordinator
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344
JASON MOORE CMP
Case Manager/Care Coordinator
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344
CATHERINE ERWIN LPN
Licensed Practical Nurse
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344
KIMBERLY WESTBROOKS RECOVERY ASSISTANT
Case Manager/Care Coordinator
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344
AUGUST HOWARD HOUSEKEEPING
Case Manager/Care Coordinator
6701 HIGHWAY 67 BLDG 70, HOPE HOUSE
BENTON, AR 72015
Saline County (501) 315-3344
WILLIAM STEPHENS RECOVERY ASSISTANT
Case Manager/Care Coordinator
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344
RESA AGUILAR CMP
Case Manager/Care Coordinator
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344
MARK WALKER RN
Registered Nurse
6701 HIGHWAY 67 BLDG 70
BENTON, AR 72015
Saline County (501) 315-3344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Pettus's NPI number?

The NPI number for Jamie Pettus is 1417141920. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Jamie Pettus located?

Jamie Pettus practices at 6701 Highway 67 Bldg 70, Benton, AR 72015. The listed phone number is (501) 315-3344.

What is Jamie Pettus's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jamie Pettus was last updated on October 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.