IndividualActive
Jacob Mcginnis, AGACNP-BC
NPI 1194325357 · Gerontology Nurse Practitioner · La Grande, OR
Provider details
- NPI number
- 1194325357
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 202011200NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 Sunset Dr
La Grande, OR 97850-1387
Phone: (541) 963-8421
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3290
La Grande, OR 97850-7290
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2021-03-26
- Certified
- 2021-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.