Provider Demographics
NPI:1992883425
Name:GRABIAK, JACALYN RENEE (RN CNOR CRNFA)
Entity type:Individual
Prefix:MR
First Name:JACALYN
Middle Name:RENEE
Last Name:GRABIAK
Suffix:
Gender:F
Credentials:RN CNOR CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 UNITY SQ
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9577
Mailing Address - Country:US
Mailing Address - Phone:724-836-0102
Mailing Address - Fax:
Practice Address - Street 1:47 UNITY SQ
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9577
Practice Address - Country:US
Practice Address - Phone:724-836-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA178272-L163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant