Individual provider · Type 1 NPI
Jee Son Park, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA
NPI number
1639840788
Active
Practice location
3554 Chain Bridge Rd Ste 200
Fairfax, VA 22030-2709
Fax (703) 844-3223
Mailing address
154 Trout Lily Dr
Lake Frederick, VA 22630-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024182788 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
17 other providers at this address
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- Brittany Baloy, PSYDClinical Psychologist Fairfax, VA NPI 1861231441
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- Emily ClausClinical Child & Adolescent Psychologist Fairfax, VA NPI 1780097840
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About NPI 1639840788
Jee Son Park, PMHNP-BC's National Provider Identifier is 1639840788, issued on Sep 27, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairfax, VA. The record was last updated on Nov 26, 2025.