Individual
MS. JACKLYN JEANNE LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5017
(619) 532-8429
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366631954
—
CA
Enumeration date
10/18/2007
Last updated
08/26/2025
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