Provider Demographics
NPI:1578196366
Name:MCGINNIS, JANNINE NICOLE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JANNINE
Middle Name:NICOLE
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-843-4010
Mailing Address - Fax:724-846-0588
Practice Address - Street 1:1302 7TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4217
Practice Address - Country:US
Practice Address - Phone:724-843-4010
Practice Address - Fax:724-846-0588
Is Sole Proprietor?:No
Enumeration Date:2020-02-19
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP021504363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health