Individual
JEE YEAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
199 CHANDLER ST, WORCESTER, MA 01609-3088
(508) 860-7888
(508) 796-7053
Mailing address
199 CHANDLER ST, WORCESTER, MA 01609-3088
(508) 860-7888
(508) 796-7053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2322449
MA
Other
Enumeration date
06/16/2016
Last updated
08/09/2022
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