Individual
JAELYN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
187 HOSPITAL DR, TYRONE, PA 16686-1808
(814) 684-1255
Mailing address
3340 UTAHVILLE RD, COALPORT, PA 16627-9360
(814) 330-1683
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN804122
PA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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