JASON PAUL PETTUS
NPI 1558056481
Driver in Mabelvale, AR
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
Specialties & Licenses 2
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jason Paul Pettus · NPI 1558056481
Driver provider in Mabelvale, Arkansas. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1558056481 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** 942803758 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16 WHISPERING OAK DR, Mabelvale, AR 72103-2065
- **Phone:** (501) 400-5306
## Record status
- **NPPES last updated:** April 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558056481) · Data from the CMS NPPES public registry.