Jaclyn L Granfors

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

2213840 Issued in MN

Practice address

4572 County Road 61
Moose Lake, MN 55767-9401

Phone

(218) 485-2105

NPI assigned

Feb 2, 2026

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1861342578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 COUNTY ROAD 12",
            "city": "KETTLE RIVER",
            "state": "MN",
            "postal_code": "557578640",
            "telephone_number": "218-730-7426",
            "fax_number": "218-730-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 COUNTY ROAD 61",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679401",
            "telephone_number": "218-485-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANFORS",
        "first_name": "JACLYN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MN",
            "license": "2213840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Forbes, PT
• Jennifer S Gangelhoff, OTR/L
• Gateway Family Health Clinic, LTD.
• Nathan Wayne Gilbertson, PA-C
• Sharon Elaine Gossett, MD
• Mark Conrad Gregerson, MD
• Michael Gunnarson, DDS
• Charles Edward Habermann, DPT
• Allie Marie Hakamaki, DPT
• Keri A Halverson, CCC/SLP

• Maternal Newborn Registered Nurse in Moose Lake, MN
• Providers in Moose Lake, MN by specialty
• Maternal Newborn Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.