SearchMarylandPsychiatric/Mental Health Nurse Practitioner

Tae Joon Park, DNP, PMHNP-BC

NPI 1134812761 · on the registry since 2023 · sole proprietor

Practice

Address
921 E Fort Ave Ste 100
Baltimore, MD 21230
Phone
(667) 668-2566
Organisation at this address
Passport Health
Passport Health Holdings, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Registered Nurse
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland