Individual
JACLYN RAE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3735 NAZARETH RD STE 206, EASTON, PA 18045-8346
(484) 503-8281
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 503-8281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014350
PA
Other
Enumeration date
06/16/2015
Last updated
11/11/2025
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