DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER M PARK, MD

Active Sole Proprietor

DR. JENNIFER M PARK, MD is a Psychiatry healthcare provider located in CONCORD, Massachusetts. NPI 1063402147 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · CONCORD, MA

Registration Details

NPI Number
1063402147
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2005 (20.786391046852 yrs)
Last Updated
Sep 26, 2023
Licenses
210049 (MA)
0101248210 (VA)
Sole Proprietor
Yes

Practice Information

Address
131 OLD ROAD TO 9 ACRE COR STE 620
CONCORD, MA, 017424191
Browse MA providers · Browse ZIP 01742
Phone
7034034204
Fax
5714464015
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in CONCORD, MA

Name Credential NPI
AARON L. FRENZ M.D. 1013906734
CHARLES S WASSERMAN MD 1659361020
DR. SARA M BOLTON MD 1629053640
MARGARET SANDERSON MCKENNA M.D. 1316998784
STEN B LOFGREN M.D. 1417904178
PAUL A REISING M.D. 1770526923
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.