Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Healthcare Clinic Limited Liability Company

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1659162402

Evergreen Healthcare Clinic Limited Liability Company is a Psychiatric/Mental Health Nurse Practitioner in Baltimore, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

300 N Charles St Ste D
Baltimore, MD 21201-4305
Phone: (240) 644-5570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1659162402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvette Ledjo — Ceo · (240) 644-5570
NPI enumeratedMay 13, 2025
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address13707 Crownsgate Way, Germantown, MD 20874-4424

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