Provider Demographics
NPI:1831262401
Name:MCCALLION-CHRISTNER, MICHELE M (APRN)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:M
Last Name:MCCALLION-CHRISTNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 FIBLES RUN COURT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40067
Mailing Address - Country:US
Mailing Address - Phone:253-569-4167
Mailing Address - Fax:
Practice Address - Street 1:649 CHAMBERLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4288
Practice Address - Country:US
Practice Address - Phone:502-875-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN2905652163W00000X
KY3017045363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse