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

Jee Son Park, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639840788

Jee Son Park, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3554 Chain Bridge Rd Ste 200
Fairfax, VA 22030-2709
Phone: (703) 896-7628
Fax: (703) 844-3223
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024182788 (VA)

Record details

NPI number1639840788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

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