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

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

Practice location Address checks out

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

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

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