Individual provider · Type 1 NPI

Jacob Leon Callison, PA

Physician Assistant · Broken Arrow, OK

NPI number 1487885877 Active

Practice location

5050 E Kenosha St
Broken Arrow, OK 74014-6711

Fax (918) 994-5150

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1844 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487885877

Jacob Leon Callison, PA's National Provider Identifier is 1487885877, issued on Aug 3, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Oct 8, 2024.