Mccallon, Kornnisa

Mccallon, Kornnisa is an sole proprietor health care provider with primary practice located at 16167 Siskiyou Rd Ste A , Apple Valley CA 92307-0837. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccallon, Kornnisa can be contacted via phone (760) 242-2146.

Contact Information

Primary practice address
16167 Siskiyou Rd Ste A Apple Valley CA 92307-0837
Phone: (760) 242-2146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 95023549 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95023549 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95023549 California

Profile Details

NPI number 1861182115
LBN Legal business name Mccallon, Kornnisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2023
Last updated Mar 14th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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