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

Jaclyn R Long, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881335123

Jaclyn R Long, MD is a Family Practice in Anchorage, Alaska. Qualified in 2022, 4 years ago. Practices with Kodiak Island Health Care Foundation, a 15-clinician group. Licensed in Alaska.

Years since qualifying
4
Licensed in
AK
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 E 36th Ave
Anchorage, AK 99508-4372
Phone: (907) 562-9229
Fax: (907) 562-1603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 236912 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AK)

Record details

NPI number1881335123
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing addressPo Box 4105, Portland, OR 97208-4105

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kodiak Island Health Care Foundation — 15 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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