Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Jacob K. McGinnis, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1194325357

Mr. Jacob K. McGinnis, AGACNP-BC is a Gerontology Nurse Practitioner in LA Grande, Oregon. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

900 Sunset Dr
LA Grande, OR 97850-1387
Phone: (541) 963-8421
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 66330 (ID)

Record details

NPI number1194325357
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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