Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB K. MCGINNIS, AGACNP-BC
Active Sole ProprietorMR. JACOB K. MCGINNIS, AGACNP-BC is a Gerontological Nurse Practitioner healthcare provider located in LA GRANDE, Oregon. NPI 1194325357 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · LA GRANDE, OR
Registration Details
- NPI Number
- 1194325357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2020 (5.7583892297456 yrs)
- Last Updated
- Mar 26, 2021
- License
-
202011200NP-PP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 SUNSET DRLA GRANDE, OR, 978501387Browse OR providers · Browse ZIP 97850
- Phone
- 5419638421
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.