Healthcare Provider Details

I. General information

NPI: 1255984639
Provider Name (Legal Business Name): EVOLUTION HEALTH & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 HUMBLE PLACE DR STE 111
HUMBLE TX
77338-5256
US

IV. Provider business mailing address

1931 HUMBLE PLACE DR STE 111
HUMBLE TX
77338-5256
US

V. Phone/Fax

Practice location:
  • Phone: 281-231-8777
  • Fax:
Mailing address:
  • Phone: 281-231-8777
  • Fax: 713-903-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JASMINE JONES
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-C, PMHNP-BC
Phone: 281-231-8777