Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Butler

Individual provider Driver · NPI 1629594957

Jack Butler is a Driver in Wise, Virginia. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

5401 Pole Bridge Rd
Wise, VA 24293-4333
Phone: (276) 328-1712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1629594957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESJuly 21, 2022
Mailing address5401 Pole Bridge Rd, Wise, VA 24293-4333

Other providers in Wise