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

Mrs. Mary Jane Pettit, RDLD

Individual provider Registered Dietitian · NPI 1801054747

Mrs. Mary Jane Pettit, RDLD is a Registered Dietitian OR Nutrition Professional in Conway, Arkansas. Qualified in 1993, 33 years ago. Practices with University of Central Arkansas, a 9-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
33
Licensed in
AR
In the registry since
2008
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Practice location Address checks out

2200 Bruce St Ste 101
Conway, AR 72034
Phone: (501) 470-7457
Fax: (501) 504-2105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 807715 (AR)

Record details

NPI number1801054747
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorYes
NPI enumeratedMay 28, 2008
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice University Of Central Arkansas — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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