National Provider Identifier
Jessica M. Park, PA-C
Jessica M. Park, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 355-3795.
Source: public NPPES record, last updated January 22, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1851568380
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 14, 2008
- Last Updated
- January 22, 2024
Practice Location
- 300 Longwood Ave
- Boston, MA 02115-5724
Phone: (617) 355-3795
Mailing Address
- 1600 W Avenue J
- Lancaster, CA 93534-2814
Specialties
- Physician Assistant (363A00000X)
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Biography
Jessica Park, PA-C, is a surgical physician assistant at Boston Children’s Hospital, where she works in the Department of Otolaryngology and Communication Enhancement. Her role places her on a pediatric ear, nose, throat, and communication care team based in Boston’s Longwood medical area.
Full Record
- NPI
- 1851568380
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Jessica
- Middle Name
- M.
- Name Prefix
- MS.
- Credential
- PA-C
- Provider Other Last Name
- Griffin
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- M.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1600 W Avenue J
- Mailing City
- Lancaster
- Mailing State
- CA
- Mailing ZIP Code
- 93534-2814
- Mailing Country
- US
- Mailing Phone
- (661) 726-6225
- Mailing Fax
- (661) 449-3019
- Practice Street Address
- 300 Longwood Ave
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-5724
- Practice Country
- US
- Practice Phone
- (617) 355-3795
- Enumeration Date
- May 14, 2008
- Last Updated
- January 22, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 22, 2024
- Taxonomies
- Physician Assistant (363A00000X)