Individual provider · NPI-1

Benjamin Marvin Evans, RN APN-C

Registered Nurse, Psych/Mental Health, Adult · Newark, NJ

NPI number1912981853
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1912981853
Entity type
Individual (NPI-1)
Name
Benjamin Marvin Evans
Credential
RN APN-C
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult26NC07677700NJYes

Practice location

155 Jefferson St
Mental Health-4w
Newark, NJ 07105-1706

Phone 973-465-2605 · Fax 973-465-2829

Mailing address

224 Ege Ave
Jersey City, NJ 07304-1413

Phone 201-333-1094 · Fax 201-333-6226

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