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JASON PAUL PETTUS
NPI 1558056481
Driver in Mabelvale, AR

Active since April 06, 2023
16 WHISPERING OAK DR, MABELVALE, AR 72103(501) 400-5306 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Paul Pettus NPPES

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

JASON PAUL PETTUS (NPI 1558056481) is an individual driver provider in Mabelvale, Arkansas, licensed in Arkansas (942803758) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1558056481
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameJASON PAUL PETTUS
Location Address16 WHISPERING OAK DRMabelvale, AR 72103-2065
Mailing Address16 Whispering Oak DrMabelvale, AR 72103-2065 · (501) 400-5306
Phone(501) 400-5306
Sole ProprietorYes
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1558056481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in AR · 942803758
Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Also ListedHome Delivered MealsTaxonomy 332U00000X
16 WHISPERING OAK DR, Mabelvale, AR 72103
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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 Jason Pettus's NPI number?

The NPI number for Jason Pettus is 1558056481. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Jason Pettus located?

Jason Pettus practices at 16 Whispering Oak Dr, Mabelvale, AR 72103. The listed phone number is (501) 400-5306.

What is Jason Pettus's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Jason Pettus was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.