Bloom, Evan Mitchell

Bloom, Evan Mitchell is an sole proprietor health care provider with primary practice located at 20 Salbide Ave , Newnan GA 30263-2501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bloom, Evan Mitchell can be contacted via phone (678) 877-6951.

Contact Information

Primary practice address
20 Salbide Ave Newnan GA 30263-2501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN-NP312467 Georgia

Profile Details

NPI number 1740102573
LBN Legal business name Bloom, Evan Mitchell
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2026
Last updated Jul 25th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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