Mascarin, Jaclyn L

Mascarin, Jaclyn L is an individual health care provider with primary practice located at 1221 Pine Grove Ave , Port Huron MI 48060-3511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mascarin, Jaclyn L can be contacted via phone (810) 989-3300.

Contact Information

Primary practice address
1221 Pine Grove Ave Port Huron MI 48060-3511
Phone: (810) 989-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107043 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601011637 Michigan

Profile Details

NPI number 1639512791
LBN Legal business name Mascarin, Jaclyn L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated May 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers