person
Laura Beth Davenport, FNP-C
Nurse Practitioner in Tyler, Texas
NPI 1679944946

Laura Beth Davenport is a Nurse Practitioner based in Dallas, TX. Laura Beth Davenport practices in Tyler, TX and has the professional credentials of FNP-C. The NPI Number for Laura Beth Davenport is 1679944946 and holds a License No. AP129297 (Texas).

The current practice location address for Laura Beth Davenport is 520 Douglas Blvd, Tyler, TX and can be reached out via phone at 903-593-1721.

Location: 520 Douglas Blvd, Tyler, TX, 75284-6098
person
Provider Profile Details
NPI Number
1679944946
Provider Name
Laura Beth Davenport
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
520 Douglas Blvd, Tyler, TX, 75284-6098
Phone Number
903-593-1721
Fax Number
Provider Enumeration Date
10/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-2616977-007 01 TX TRICARE
8343NS 01 TX BCBS
352819204 05 TX
75-0818167-015 01 TX TRICARE
850NY 01 TX BCBS
75-2616977-129 01 TX TRICARE
8478NY 01 TX BCBS
352819201 05 TX
75-0818167-048 01 TX TRICARE
75-2616977-028 01 TX TR
P01707526 01 TX RAIL ROAD MEDICARE
352819202 05 TX
352819203 05 TX
75-2616977-002 01 TX TRICARE
75-2616977-118 01 TX TRICARE
75-0818167-022 01 TX TRICARE
75-0818167-044 01 TX TRICARE
75-1976930-005 01 TX TRICARE
75-2616977-023 01 TX TRIUCARE
P01569953 01 TX RAIL ROAD MEDICARE
75-2616977-001 01 TX TRICARE
8946NY 01 TX BCBS
P01707529 01 TX RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
520 Douglas Blvd
City
State
Zip
75702-8307
Phone Number
903-593-1721
Fax Number
person
Provider Business Mailing Address Details
Address
520 Douglas Blvd
City
State
Zip
75702-8307
Phone Number
903-593-1721
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
AP129297 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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