Individual
MR. JAMES CALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(404) 563-5057
Mailing address
UNITEDHEALTH GROUP, MINNEAPOLIS, MN 55440-1459
(800) 561-0861
(678) 990-5763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN141273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209444535A
—
GA
05
—
209444535C
—
GA
05
—
209444535E
—
GA
Enumeration date
07/14/2005
Last updated
11/17/2020
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