Provider Demographics
NPI:1407669906
Name:MCGINN, GRACE (FNP-C)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:MCGINN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 OAK HILL TRL
Mailing Address - Street 2:
Mailing Address - City:MINERAL BLUFF
Mailing Address - State:GA
Mailing Address - Zip Code:30559-7167
Mailing Address - Country:US
Mailing Address - Phone:706-633-4624
Mailing Address - Fax:
Practice Address - Street 1:4799 BLUE RIDGE DR STE 104
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-3468
Practice Address - Country:US
Practice Address - Phone:706-632-1155
Practice Address - Fax:706-896-0877
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN291702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily