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JACLYN L GRANFORS
NPI 1861342578
Registered Nurse - Maternal Newborn in Moose Lake, MN

Active since February 02, 2026
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-2105 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn L Granfors NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN L GRANFORS (NPI 1861342578) is an individual maternal newborn provider in Moose Lake, Minnesota, licensed in Minnesota (2213840) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1861342578
Entity TypeIndividual
Primary Taxonomy163WM0102X
Provider Legal NameJACLYN L GRANFORS
Location Address4572 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address5819 County Road 12Kettle River, MN 55757-8640 · (218) 730-7426 · Fax (218) 730-7426
Phone(218) 485-2105
Sole ProprietorYes
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 1, 2026
✔ NPI 1861342578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Maternal NewbornNursing Service Providers
Taxonomy Code163WM0102X
License✔ Licensed in MN · 2213840
4572 COUNTY ROAD 61, Moose Lake, MN 55767
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA MARIE JOHNSON DPT
Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-5823
MS. APRIL M HANSEN OTR/L
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
FAITH A. MANTY APRN, CNP
Nurse Practitioner (Family)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
CLAIRE L ROSEN OTR/L
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
ESSENTIA HEALTH MOOSE LAKE
General Acute Care Hospital (Critical Access)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
DR. ANDREA KARIN KRATZKE NELSON MD
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-2015
MS. ABBY MARIE SCHULTZ
Physical Medicine & Rehabilitation
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
JAMES ALAN MACH JR.
Nurse Anesthetist, Certified Registered
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Granfors's NPI number?

The NPI number for Jaclyn Granfors is 1861342578. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Jaclyn Granfors located?

Jaclyn Granfors practices at 4572 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-2105.

What is Jaclyn Granfors's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Maternal Newborn, with taxonomy code 163WM0102X.

When was this NPI record last updated?

The NPPES record for Jaclyn Granfors was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.