Jason Paul Pettus
Jason Paul Pettus is a Home Delivered Meals in Mabelvale, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
16 Whispering Oak DrMabelvale, AR 72103-2065
Phone: (501) 400-5306
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 942803758 (AR) |
|---|---|
| Home Delivered Meals | Taxonomy 332U00000X (AR) |
Record details
| NPI number | 1558056481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2023 |
| Last updated in NPPES | April 6, 2023 |
| Certification date | April 6, 2023 |