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NPI Code Detail

MEDICARE: MR. JAMES CALLISON CFNP

MEDICARE: MR. JAMES CALLISON CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN141273GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891794624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES CALLISON CFNP
Provider Business Mailing Address
First Line : UNITEDHEALTH GROUP
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55440-1459
Country : US
Telephone Number : 800-561-0861
Fax Number : 678-990-5763
Provider Business Practice Location Address
First Line : 9900 BREN RD E
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-9664
Country : US
Telephone Number : 404-563-5057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 11/17/2020

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