Healthcare Provider Details

I. General information

NPI: 1942943873
Provider Name (Legal Business Name): MEGHAN MCCAIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGHAN GAINES

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E MAIN ST STE G
JACKSON OH
45640-1788
US

IV. Provider business mailing address

288 ANTIOCH RD
OAK HILL OH
45656-9769
US

V. Phone/Fax

Practice location:
  • Phone: 740-577-3043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0031172
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: