Individual
JASON PATTYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6201 S 39TH ST, ROGERS, AR 72758-1628
(405) 210-5149
Mailing address
83 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2814
(479) 935-1458
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L056757
AR
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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