Individual provider · Type 1 NPI
Jason Paul Pettus
Driver · Mabelvale, AR
NPI number
1558056481
Active
Practice location
16 Whispering Oak Dr
Mabelvale, AR 72103-2065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Delivered Meals | 332U00000X | None listed |
| Driver Primary | 172A00000X | 942803758 (AR) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Mabelvale
About NPI 1558056481
Jason Paul Pettus's National Provider Identifier is 1558056481, issued on Apr 6, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mabelvale, AR. The record was last updated on Apr 6, 2023.