IndividualActive
Jaelyn Shaw, RN
NPI 1376405936 · Emergency Registered Nurse · Tyrone, PA
Provider details
- NPI number
- 1376405936
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN804122 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
187 Hospital Dr
Tyrone, PA 16686-1808
Phone: (814) 684-1255
Approximate (ZIP-level) locationGet directions
Mailing address
3340 Utahville Rd
Coalport, PA 16627-9360
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.