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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457701807

Jee Yeah Park, PMHNP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2020, 6 years ago. Practices with Family Health Center of Worcester, Inc, a 91-clinician group. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2016
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

199 Chandler St
Worcester, MA 01609-3088
Phone: (508) 860-7888
Fax: (508) 796-7053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2322449 (MA)

Record details

NPI number1457701807
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address199 Chandler St, Worcester, MA 01609-3088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Health Center Of Worcester, Inc. — 91 clinicians
Accepts Medicare assignment Not indicated

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