Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAE JOON PARK, DNP, PMHNP-BC
Active Sole ProprietorTAE JOON PARK, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BALTIMORE, Maryland. NPI 1134812761 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BALTIMORE, MD
Registration Details
- NPI Number
- 1134812761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2023 (3.1725948805108 yrs)
- Last Updated
- Jul 14, 2023
- Licenses
-
R218239 (MD)R218239 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
921 E FORT AVE STE 100BALTIMORE, MD, 212305135Browse MD providers · Browse ZIP 21230
- Phone
- 6676682566
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| MS. PHYLLIS J MASON | CRNP | 1164429973 |
| TEMIKA HEYWARD | DNP, PMHNP, FNP | 1730174574 |
| DR. DEORA KAYE JOHNSON | DNP, CRNP | 1336139278 |
| MS. SUSAN ANN REED | N.P. | 1972567543 |
| JAMES D LUCIUK | CRNP | 1639117591 |
| NGOZI A IHEOMA | CRNP, PMHNP-BC | 1851312128 |
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.