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Peggy J Davidson, CRNP
Licensed Practical Nurse in Tyler, Texas
NPI 1679583793

Peggy J Davidson is a Licensed Practical Nurse based in Longview, TX. Peggy J Davidson practices in Tyler, TX and has the professional credentials of CRNP. The NPI Number for Peggy J Davidson is 1679583793 and holds a License No. 249499 (Texas).

The current practice location address for Peggy J Davidson is 455 Rice Rd Ste 108, Tyler, TX and can be reached out via phone at 903-939-0799 and via fax at 903-939-0799. You can also correspond with Peggy J Davidson through the mailing address at 108 FENTON RD, LONGVIEW, TX - 75604-1119 (mailing address contact number: 903-939-0799).

Location: 455 Rice Rd Ste 108, Tyler, TX, 75604-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679583793
Provider Name
Peggy J Davidson
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
455 Rice Rd Ste 108, Tyler, TX, 75604-1119
Phone Number
903-939-0799
Fax Number
903-939-0799
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175568801 05 TX
institution
Provider Business Practice Location Address Details
Address
455 Rice Rd Ste 108
City
Tyler
State
Texas
Zip
75703-3604
Phone Number
903-939-0799
Fax Number
903-939-0799
person
Provider Business Mailing Address Details
Address
455 Rice Rd Ste 108
City
Tyler
State
Texas
Zip
75703-3604
Phone Number
903-939-0799
Fax Number
903-939-0799
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
249499 (Texas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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