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

Jaeyeon Park

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1306252119

Jaeyeon Park is a Psychiatric/Mental Health Registered Nurse in Provo, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014

Practice location Address checks out

750 N 200 W
Provo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 8895065-3102 (UT)

Record details

NPI number1306252119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESJuly 2, 2014
Mailing address750 N 200 W, Provo, UT 84601-1677

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