Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paula J. Fortner, APRN-CNP

Individual provider Emergency Medicine Physician · NPI 1639577026

Paula J. Fortner, APRN-CNP is a Nurse Practitioner in Logan, Ohio. Qualified in 2014, 12 years ago. Practices with Osup Community Outreach LLC, a 142-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

601 State Route 664 N
Logan, OH 43138-8541
Phone: (740) 380-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • East State Street, Athens, OH 45701-2907 — (740) 589-3105
  • 225 E Main St, Logan, OH 43138-1305 — (740) 380-9537

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.16625 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence APRN.CNP.16625 (OH)

Record details

NPI number1639577026
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedDecember 17, 2014
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Osup Community Outreach Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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