Organization
EVOLVE HEALTH PARTNERS
Active
Parent organization
EVOLVE HEALTH PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOLVE HEALTH PARTNERS
Authorized official
JESSIE COSTLEY (ADMINISTRATOR)
(443) 548-3733
Entity
Organization
Contact information
Practice address
2528 MOUNTAIN RD STE 101, PASADENA, MD 21122-7202
(443) 798-7778
(410) 360-1675
Mailing address
2528 MOUNTAIN RD STE 101, PASADENA, MD 21122-7202
(443) 798-7778
(410) 360-1675
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317219800
—
MD
Enumeration date
05/03/2022
Last updated
09/29/2023
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