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Evan Mitchell Bloom, DNP, APRN, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Newnan, GA. Individual provider (NPI-1).

NPI number1740102573
StatusActive
Last updated in NPPESNov 4, 2026

Details

NPI
1740102573
Entity type
Individual (NPI-1)
Name
Evan Mitchell Bloom
Credential
DNP, APRN, PMHNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2026
Certification date
Nov 4, 2026
Last updated
Nov 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthAPRN-NP312467GAYes

Practice location

2959 Sharpsburg McCullum Rd Ste 105
Newnan, GA 30265-2297

Phone 678-423-5500

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7725

Other practice locations

20 Salbide Ave
Newnan, GA 30263-2501

Phone 678-877-6951

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Newnan, GA

All 18 Psychiatric/Mental Health Nurse Practitioner providers in Newnan · All 2,174 providers in Newnan

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