Pettus, Jamie Keith

Pettus, Jamie Keith is an individual health care provider with primary practice located at 6701 Highway 67 Bldg 70 , Benton AR 72015-8909. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Pettus, Jamie Keith can be contacted via phone (501) 315-3344.

Contact Information

Primary practice address
6701 Highway 67 Bldg 70 Benton AR 72015-8909
Phone: (501) 315-3344
Fax: (501) 303-3186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L38028 Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1417141920
LBN Legal business name Pettus, Jamie Keith
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Oct 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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