Search › Michigan › 363A00000X
Jaclyn Mascarin, PA
NPI 1639512791 · on the registry since 2013
Practice
- Address
- 1221 Pine Grove Ave
Port Huron, MI 48060 - Phone
- (810) 989-3300
- Organisation at this address
- Walgreen Co
Mclaren Port Huron
Mclaren Port Huron
Mclaren Port Huron
Mclaren Port HuronInferred from a shared address, not stated in the registry. - Clinicians at this address
- 117
Additional practice sites
- 300 Pinellas St # Ms -36, Clearwater, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- FL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan