Organization
EVERGREEN MINDCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENESSY GONZALEZ PMHNP (OWNER)
(954) 256-4502
Entity
Organization
Contact information
Practice address
4595 SW 125TH LN, MIRAMAR, FL 33027-3131
(954) 256-4502
Mailing address
4595 SW 125TH LN, MIRAMAR, FL 33027-3131
(954) 256-4502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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