Organization
PARK HAVEN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEESON PARK PMHNP-BC (OWNER AND CLINICIAN)
(703) 844-0060
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR # 5680, RICHMOND, VA 23294-4648
(703) 844-0060
(703) 844-3223
Mailing address
8401 MAYLAND DR # 5680, RICHMOND, VA 23294-4648
(703) 844-0060
(703) 844-3223
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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