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Organization

EVERGREEN BEHAVIORAL HEALTH & WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH JORDAN PA-C (OWNER/PHYSICIAN ASSISTANT)
(570) 417-6508
Entity
Organization

Contact information

Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(919) 897-7538
Mailing address
604 E FRONT ST UNIT 382, CLAYTON, NC 27520-2058
(919) 897-7538

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/03/2025
Last updated
12/09/2025
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