Provider Demographics
NPI:1083180129
Name:FORTE-SULLEN, KARA LYNN (CNP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:FORTE-SULLEN
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 ALPHA DR STE C
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2139
Mailing Address - Country:US
Mailing Address - Phone:216-347-8498
Mailing Address - Fax:
Practice Address - Street 1:675 ALPHA DR STE C
Practice Address - Street 2:
Practice Address - City:HIGHLAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2139
Practice Address - Country:US
Practice Address - Phone:216-347-8498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025578363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty