| Kornnisa Mccallon, FNP | |
|
16167 Siskiyou Rd Ste A, Apple Valley, CA 92307-0837 | |
| (760) 242-2146 | |
| Not Available |
| Full Name | Kornnisa Mccallon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 16167 Siskiyou Rd Ste A, Apple Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861182115 | NPI | - | NPPES |
| Entity Name | Desert Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Kornnisa Mccallon, FNP Po Box 1032, Helendale, CA 92342-1032 Ph: (442) 319-9630 | Kornnisa Mccallon, FNP 16167 Siskiyou Rd Ste A, Apple Valley, CA 92307-0837 Ph: (760) 242-2146 |
Alma Luna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16143 Kokanee Rd Ste C, Apple Valley, CA 92307 Phone: 760-242-6442 |
Brenda Ann Marin, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307 Phone: 760-810-7631 |
Ashly Patricia Cameron, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18523 Corwin Rd Ste H, Apple Valley, CA 92307 Phone: 760-261-8462 |
Latora Subani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16179 Siskiyou Rd, Apple Valley, CA 92307 Phone: 661-267-6876 |
Jonathan Portillo, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Elizabeth Espinoza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Mr. Jesus A Quinonez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18300 Ca-18, Apple Valley, CA 92307 Phone: 760-242-2311 |