Jaclyn Park

  • Roanoke, VA
  • Physician assistant
NPI1851783708
Hospital affiliations
1
Medical groups
3
State license
1
Year NPI issued
2015
Practice address
1906 Belleview Avenue, SE, Roanoke, VA 24014
Practice phone
Call (540) 981-7000
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Carilion Roanoke Memorial Hospital

Hospital · Roanoke, Virginia

See all 4 affiliations

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Jaclyn Park is a physician assistant in Roanoke, Virginia

Jaclyn Park practices at Carilion Roanoke Memorial Hospital in Roanoke, Virginia, part of Carilion Clinic.

Jaclyn Park's NPI, 1851783708, was assigned on March 2, 2015. Jaclyn Park holds Virginia license 0110004841.

NPI and contact details
NPI enumeration date
March 2, 2015
NPI status
Active
Practice phone
(540) 981-7000
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Jaclyn Park practices at Carilion Roanoke Memorial Hospital in Roanoke, Virginia

Jaclyn Park's primary practice is Carilion Roanoke Memorial Hospital, at 1906 Belleview Avenue, SE, Roanoke, VA 24014 in Roanoke City. The practice phone is (540) 981-7000.

Source: Dmand AI Affiliation Data

Jaclyn Park is affiliated with 1 site of care and 3 medical groups

Jaclyn Park's primary practice is Carilion Roanoke Memorial Hospital in Roanoke, Virginia, part of Carilion Clinic. The medical group on file is Carilion Clinic. Dmand AI also links Jaclyn Park to 2 more medical groups, each named with a free account.

See all 4 affiliations for Jaclyn Park

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Jaclyn Park's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Jaclyn Park practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Carilion Roanoke Memorial HospitalAvailable with a free account
+2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dmand AI maps EHR vendors, IT decision makers and buying committees across Carilion Clinic and 6.2K+ hospitals, with verified contacts in the same login.

Jaclyn Park is one of 3,636 physician assistants in Virginia

Physician assistant is Jaclyn Park's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Jaclyn Park is licensed in Virginia.

Specialties and state licenses

  • Physician assistant, VirginiaPrimaryLicense 0110-004841 · taxonomy 363A00000X

Physician assistants near Jaclyn Park

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Jaclyn Park's patients have a median age of 69

Across all payers, Dmand AI patient panel data puts Jaclyn Park's median patient age at 69, with 56% women.

Jaclyn Park's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women56%
  • Men44%

Source: Dmand AI Patient Panel Data

Sources for Jaclyn Park's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Jaclyn Park

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Jaclyn Park's NPI number?

Jaclyn Park's NPI number is 1851783708. It was assigned on March 2, 2015, and it is active in the NPI Registry.

What does Jaclyn Park specialize in?

Jaclyn Park is a physician assistant in Roanoke, Virginia. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Jaclyn Park practice?

Jaclyn Park practices at 1906 Belleview Avenue, SE, Roanoke, VA 24014. Jaclyn Park's primary practice is Carilion Roanoke Memorial Hospital in Roanoke, Virginia, part of Carilion Clinic. Dmand AI also links Jaclyn Park to 2 medical groups.

What is Jaclyn Park's office phone number?

The practice phone on file for Jaclyn Park is (540) 981-7000.

What is Jaclyn Park's medical license number?

Jaclyn Park holds Virginia license 0110004841.

Which hospitals is Jaclyn Park affiliated with?

Jaclyn Park practices at Carilion Roanoke Memorial Hospital in Roanoke, Virginia.

What medical group is Jaclyn Park part of?

Jaclyn Park is linked to Carilion Clinic. Dmand AI links Jaclyn Park to 2 more medical groups.

How long has Jaclyn Park been practicing?

Jaclyn Park's NPI was assigned in 2015.

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