Provider Demographics
NPI:1184168783
Name:MAY, HEATHER JEAN (RN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:JEAN
Last Name:MAY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W LANE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3538
Mailing Address - Country:US
Mailing Address - Phone:614-457-4827
Mailing Address - Fax:
Practice Address - Street 1:1315 W LANE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3538
Practice Address - Country:US
Practice Address - Phone:614-457-4827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.502190163WX0003X, 163W00000X
CORN.1627646163WX0003X
MA254796174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No174N00000XOther Service ProvidersLactation Consultant, Non-RN