Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer M Park, MD

Individual provider Psychiatry Physician · NPI 1063402147

Dr. Jennifer M Park, MD is a Psychiatry Physician in Concord, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts and Virginia.

Licensed in
MA, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

131 Old Road To 9 Acre Cor Ste 620
Concord, MA 01742-4191
Phone: (703) 403-4204
Fax: (571) 446-4015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1355 Beverly Rd, Mc Lean, VA 22101-3651 — (703) 403-4204

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101248210 (VA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 210049 (MA)

Record details

NPI number1063402147
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2005
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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