Individual provider · Type 1 NPI

Jaclyn Rae Tyson, CRNP

Family Nurse Practitioner · Easton, PA

NPI number 1740661693 Active

Practice location

3735 Nazareth Rd Ste 206
Easton, PA 18045-8346

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP014350 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1740661693

Jaclyn Rae Tyson, CRNP's National Provider Identifier is 1740661693, issued on Jun 16, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Easton, PA. The record was last updated on Nov 11, 2025.