Individual provider · Type 1 NPI

Tae Joon Park, DNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1134812761 Active

Practice location

921 E Fort Ave Ste 100
Baltimore, MD 21230-5135

Mailing address

603 S Rose St
Baltimore, MD 21224-3759

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR218239 (MD)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR218239 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1134812761

Tae Joon Park, DNP, PMHNP-BC's National Provider Identifier is 1134812761, issued on May 30, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Jul 14, 2023.