Individual provider · Type 1 NPI

Jenna Starr MC Grath, AGPCNP-BC

Nurse Practitioner · St. John, IN

NPI number 1891211058 Active

Practice location

10700 Park Pl
St. John, IN 46373-8666

Fax (219) 365-3524

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201042875RN (OR)
Nurse Practitioner Primary 363L00000X71011196A (IN)
Nurse Practitioner 363L00000X201801692NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891211058

Jenna Starr MC Grath, AGPCNP-BC's National Provider Identifier is 1891211058, issued on Aug 19, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. John, IN. The record was last updated on Oct 26, 2026.