National Provider Identifier

Chalissa McKinnon, LPN

Chalissa McKinnon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 360-6500.

NPI 1255797320Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1255797320
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 05, 2016
Last Updated
January 05, 2016

Practice Location

  • 727 Affinity Ln
  • Rochester, NY 14616-1730

Phone: (585) 360-6500

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1255797320
Entity Type
Individual
Last Name
McKinnon
First Name
Chalissa
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
727 Affinity Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1730
Mailing Country
US
Mailing Phone
(585) 360-6500
Practice Street Address
727 Affinity Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1730
Practice Country
US
Practice Phone
(585) 360-6500
Enumeration Date
January 05, 2016
Last Updated
January 05, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)