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Jason Paul Pettus
Driver in Mabelvale, Arkansas
NPI 1558056481

Jason Paul Pettus is a Driver based in Mabelvale, AR. Jason Paul Pettus practices in Mabelvale, AR. The NPI Number for Jason Paul Pettus is 1558056481 and holds a License No. (Arkansas).

The current practice location address for Jason Paul Pettus is 16 Whispering Oak Dr, Mabelvale, AR and can be reached out via phone at 501-400-5306.

Location: 16 Whispering Oak Dr, Mabelvale, AR, 72103-2065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558056481
Provider Name
Jason Paul Pettus
Credential
Provider Entity Type
Individual
Gender
Male
Address
16 Whispering Oak Dr, Mabelvale, AR, 72103-2065
Phone Number
501-400-5306
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 Whispering Oak Dr
City
Mabelvale
State
Arkansas
Zip
72103-2065
Phone Number
501-400-5306
Fax Number
person
Provider Business Mailing Address Details
Address
16 Whispering Oak Dr
City
Mabelvale
State
Arkansas
Zip
72103-2065
Phone Number
501-400-5306
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
942803758 (Arkansas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Home Delivered Meals
Speciality
-
Taxonomy
332U00000X
License No.
(Arkansas)
Definition
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
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