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

Jaclyn Owen

Individual provider Physician Assistant · NPI 1437988508

Jaclyn Owen is a Physician Assistant in Lucedale, Mississippi. Qualified in 2025, 1 year ago. Practices with Community Medical Center, a 17-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2024

Practice location Address checks out

92 Ratliff St
Lucedale, MS 39452-6537
Phone: (601) 947-8181
Fax: (601) 947-4411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00942 (MS)

Record details

NPI number1437988508
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address14515 Lorraine Rd, Biloxi, MS 39532-7421

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Community Medical Center — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount