JACLYN RAE TYSON

EASTON, PA
NPI1740661693
Professional NameJACLYN RAE BIVALETZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP014350)
Enumeration Date2015-06-16
Last Update Date2025-11-11
Business Address
JACLYN RAE TYSON CRNP
3735 NAZARETH RD STE 206
EASTON, PA 18045-8346
Phone number: 484-503-8281
Mailing Address
JACLYN RAE TYSON CRNP
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-503-8281