person
Jee Son Park, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Fairfax, Virginia
NPI 1639840788

Jee Son Park is a Psychiatric/Mental Health Nurse Practitioner based in Lake Frederick, VA and is specialized in Psychiatric/Mental Health. Jee Son Park practices in Fairfax, VA and has the professional credentials of PMHNP-BC. The NPI Number for Jee Son Park is 1639840788 and holds a License No. 0024182788 (Virginia).

The current practice location address for Jee Son Park is 3554 Chain Bridge Rd Ste 200, Fairfax, VA and can be reached out via phone at 703-896-7628 and via fax at 703-890-2359. You can also correspond with Jee Son Park through the mailing address at 154 TROUT LILY DR, LAKE FREDERICK, VA - 22630-1909 (mailing address contact number: 703-628-2248).

Location: 3554 Chain Bridge Rd Ste 200, Fairfax, VA, 22630-1909
person
Provider Profile Details
NPI Number
1639840788
Provider Name
Jee Son Park
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3554 Chain Bridge Rd Ste 200, Fairfax, VA, 22630-1909
Phone Number
703-896-7628
Fax Number
703-890-2359
Provider Enumeration Date
09/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3554 Chain Bridge Rd Ste 200
City
State
Zip
22030-2709
Phone Number
703-896-7628
Fax Number
703-890-2359
person
Provider Business Mailing Address Details
Address
3554 Chain Bridge Rd Ste 200
City
State
Zip
22030-2709
Phone Number
703-896-7628
Fax Number
703-890-2359
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024182788 (Virginia)
Definition
Definition to come...
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