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

Nour Mustafa

Individual provider Physician Assistant · NPI 1073119335

Nour Mustafa is a Physician Assistant in Broken Arrow, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2020, 6 years ago. Practices with Inpatient Care Physician Services LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2020
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Practice location Address checks out

2504 E Reno St
Broken Arrow, OK 74014-4601
Phone: (918) 406-8625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4419 (OK)

Record details

NPI number1073119335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateNovember 17, 2020
Mailing address2504 E Reno St, Broken Arrow, OK 74014-4601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Inpatient Care Physician Services Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Broken Arrow