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

Jade Park

Individual provider Family Medicine Physician · NPI 1053988741

Jade Park is a Family Medicine Physician in Alexandria, Louisiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021
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Practice location Address checks out

301 4th St
Alexandria, LA 71301-8411
Phone: (318) 441-1041
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01093877A (IN)

Record details

NPI number1053988741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients113
Services billed 119 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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