Search › Arkansas › 172A00000X
Jason Pettus
NPI 1558056481 · on the registry since 2023 · sole proprietor
Practice
- Address
- 16 Whispering Oak Dr
Mabelvale, AR 72103 - Phone
- (501) 400-5306
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 332U00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas