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

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