Provider Demographics
NPI:1184383119
Name:MAY, STEPHEN DAVID (RN)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DAVID
Last Name:MAY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 WILDBERRY CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1673
Mailing Address - Country:US
Mailing Address - Phone:865-851-4320
Mailing Address - Fax:
Practice Address - Street 1:2004 WILDBERRY CT
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-1673
Practice Address - Country:US
Practice Address - Phone:865-851-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN237043163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse