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

Jaclyn R Hope

Individual provider Physician Assistant · NPI 1114383759

Jaclyn R Hope is a Physician Assistant in Fruitland, Idaho. Qualified in 2015, 11 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Virginia.

Years since qualifying
11
Licensed in
ID, VA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1210 NW 16th St
Fruitland, ID 83619-2202
Phone: (208) 452-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1450 Sachem Pl, Charlottesville, VA 22901-2554 — (434) 973-9744

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1903 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 0110-0005180 (VA)

Record details

NPI number1114383759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2016
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fruitland