MEDICARE: NI-ESHIA HEARD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	461244	OH

General Provider Information

NPI Number	:	1306403217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NI-ESHIA HEARD RN

Provider Business Mailing Address
First Line	:	372 DENISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-2858
Country	:	US
Telephone Number	:	614-809-9055
Fax Number	:

Provider Business Practice Location Address
First Line	:	372 DENISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-2858
Country	:	US
Telephone Number	:	614-809-9055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2019
Last Update Date	:	02/15/2026

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