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

Jack Butler

Individual provider Driver · NPI 1629594957

Jack Butler is a Driver in Wise, Virginia. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

5401 Pole Bridge Rd
Wise, VA 24293-4333
Phone: (276) 328-1712
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1629594957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESJuly 21, 2022

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