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
Mailing address190 E Bannock St, Boise, ID 83712-6241

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