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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB LEON CALLISON, PA

Active

JACOB LEON CALLISON, PA is a Physician Assistant healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1487885877 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BROKEN ARROW, OK

Registration Details

NPI Number
1487885877
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2009 (16.988549763539 yrs)
Last Updated
Oct 8, 2024
License
1844 (OK)

Practice Information

Address
5050 E KENOSHA ST
BROKEN ARROW, OK, 740146711
Browse OK providers · Browse ZIP 74014
Phone
9189945140
Fax
9189945150
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BROKEN ARROW, OK

Name Credential NPI
AUDRA MICHELLE MCCALL PAC 1306845524
ANTHONY BARBETTINI PA-C 1427033620
DEBORAH SUSANN LEBLANC PA C 1356389936
JENNIFER L. RAU PA 1164584868
MS. DANA MARIE WEATHERFORD P.A. 1881711323
CRYSTAL JONES HENSLEY PA-C 1669621710
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.