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Jason Pettus — NPI 1558056481, Mabelvale, AR | NPI Central

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NPI 1558056481

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Jason Pettus

NPI 1558056481 · Driver · Mabelvale, AR

Provider details

NPI number: 1558056481
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

DriverPrimary172A00000XLicense 942803758 (AR)
Other Service Providers
Home Delivered Meals332U00000X
Suppliers

Practice location

16 Whispering Oak Dr

Mabelvale, AR 72103-2065

Phone: (501) 400-5306

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

16 Whispering Oak Dr

Mabelvale, AR 72103-2065

Registry dates

Enumerated: 2023-04-06
Last updated: 2023-04-06
Certified: 2023-04-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.