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JEE SON PARK PMHNP-BC
NPI 1639840788
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since September 27, 2021
3554 CHAIN BRIDGE RD STE 200, FAIRFAX, VA 22030(703) 896-7628(703) 844-3223 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Sep 27, 2021 (2 updates tracked since 2021).

About Jee Son Park Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEE SON PARK PMHNP-BC (NPI 1639840788) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024182788) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1639840788
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEE SON PARKCredential: PMHNP-BC
Location Address3554 CHAIN BRIDGE RD STE 200Fairfax, VA 22030-2709
Mailing Address154 Trout Lily DrLake Frederick, VA 22630-1909 · (703) 628-2248 · Fax (703) 844-3223
Phone(703) 896-7628
Fax(703) 844-3223
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1639840788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024182788
3554 CHAIN BRIDGE RD STE 200, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA CARLSON
Social Worker (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
CASEY KWAK NP
Nurse Practitioner (Psychiatric/Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
KENDYL DURHAM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. BRITTANY MUSAFFI PSYD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
ELIZABETH YEONAS
Counselor (Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
MORGAN ROSE GOCKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. RACHEL BAINES PSYD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. MELISSA TENNYSON
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 593-2182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jee Son Park's NPI number?

The NPI number for Jee Son Park is 1639840788. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Jee Son Park located?

Jee Son Park practices at 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030. The listed phone number is (703) 896-7628.

What is Jee Son Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jee Son Park was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.