Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Diahann Sullivan, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1871221788

Angela Diahann Sullivan, PMHNP-C is a Nurse Practitioner in Columbus, Ohio. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2022
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Practice location Address checks out

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone: (419) 917-6466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0039823 (OH)

Record details

NPI number1871221788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESJanuary 3, 2026
Certification dateJanuary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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