Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shayla Freeborough, FNP

Individual provider Registered Nurse · NPI 1033845086

Shayla Freeborough, FNP is a Nurse Practitioner in Jamestown, New York. Qualified in 2022, 4 years ago. Practices with Great Lakes Physician PC, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

117 Foote Ave
Jamestown, NY 14701-6947
Phone: (716) 338-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350418 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 717289 (NY)

Record details

NPI number1033845086
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 30, 2022
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Great Lakes Physician Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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