person
Jaeyeon Park
Psychiatric/Mental Health Registered Nurse in Provo, Utah
NPI 1306252119

Jaeyeon Park is a Psychiatric/Mental Health Registered Nurse based in Provo, UT and is specialized in Psychiatric/Mental Health. Jaeyeon Park practices in Provo, UT. The NPI Number for Jaeyeon Park is 1306252119 and holds a License No. 8895065-3102 (Utah).

The current practice location address for Jaeyeon Park is 750 N 200 W, Provo, UT and can be reached out via phone at 801-373-4760. You can also correspond with Jaeyeon Park through the mailing address at 750 N 200 W, PROVO, UT - 84601-1677 (mailing address contact number: 801-373-4760).

Location: 750 N 200 W, Provo, UT, 84601-1677
person
Provider Profile Details
NPI Number
1306252119
Provider Name
Jaeyeon Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 N 200 W, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
07/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 N 200 W
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N 200 W
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
8895065-3102 (Utah)
Definition
Definition to come...
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