National Provider Identifier Database

JASON P PETTUS
Driver

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


Contact Information

JASON P PETTUS
16 WHISPERING OAK DR
MABELVALE, AR72103-2065
Phone: 501-400-5306
Fax:
Website:
Specialty Taxonomy Code
* Driver 172A00000X
Home Delivered Meals 332U00000X

* Indicates primary specialty

NPI Profile & details for JASON P PETTUS

NPI Number 1558056481
Credentials
Entity Individual
Enumeration date 04/06/2023
Last updated 04/06/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: 942803758
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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