Kornnisa Mccallon, FNP
NPI #1861182115 in Apple Valley, California
Provider Information
- NPI Number
- 1861182115
- Entity Type
- Individual
- Name
- Kornnisa Mccallon, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- May 10, 2023
- Last Updated
- Mar 14, 2025
Practice Location
- Address
- 16167 SISKIYOU RD STE A
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-0837
- Phone
- (760) 242-2146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Family — Family |
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