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

Lauren Nicole Jackson

Individual provider Physician Assistant · NPI 1912639873

Lauren Nicole Jackson is a Physician Assistant in San Juan Capistrano, California. Works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572
Phone: (949) 489-0773
Show map & directions

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

Additional practice locations (1)

  • 2219 W Euless Blvd Ste 200, Euless, TX 76040-6679 — (866) 971-7393

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64902 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA19625 (TX)

Record details

NPI number1912639873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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