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

Kornnisa McCallon, FNP

Individual provider Gynecologic Oncology Physician · NPI 1861182115

Kornnisa McCallon, FNP is a Gynecologic Oncology Physician in Apple Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

16167 Siskiyou Rd Ste A
Apple Valley, CA 92307-0837
Phone: (760) 242-2146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95023549 (CA)
Gynecologic Oncology Physician Taxonomy 207VX0201X · Licence 95023549 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95023549 (CA)

Record details

NPI number1861182115
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMay 10, 2023
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

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