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

Jaclyn L Mascarin, PA

Individual provider Physician Assistant · NPI 1639512791

Jaclyn L Mascarin, PA is a Physician Assistant in Port Huron, Michigan. Works from 2 locations. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone: (810) 989-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pinellas St # Ms -36, Clearwater, FL 33756-3804 — (727) 462-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011637 (MI)
Physician Assistant Taxonomy 363A00000X · Licence PA9107043 (FL)

Record details

NPI number1639512791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

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