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

Mr. Jamie Keith Pettus, LPN

Individual provider Licensed Practical Nurse · NPI 1417141920

Mr. Jamie Keith Pettus, LPN is a Licensed Practical Nurse in Benton, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

6701 Highway 67 Bldg 70
Benton, AR 72015-8909
Phone: (501) 315-3344
Fax: (501) 303-3186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Licensed Practical Nurse Taxonomy 164W00000X · Licence L38028 (AR)

Record details

NPI number1417141920
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedAugust 29, 2007
Last updated in NPPESOctober 12, 2009

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