# EVOLVE HEALTH PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVOLVE HEALTH PARTNERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831834969
- **Legal business name:** EVOLVE HEALTH PARTNERS
- **Authorized official:** JESSIE COSTLEY (ADMINISTRATOR)
- **Authorized official phone:** (443) 548-3733

## Contact information

- **Practice address:** 2528 MOUNTAIN RD STE 101, PASADENA, MD 21122-7202
- **Practice address phone:** (443) 798-7778
- **Practice address fax:** (410) 360-1675
- **Mailing address:** 2528 MOUNTAIN RD STE 101, PASADENA, MD 21122-7202
- **Mailing address phone:** (443) 798-7778
- **Mailing address fax:** (410) 360-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 09/29/2023