Individual provider · Type 1 NPI

Peggy J. Davidson, CRNP

Licensed Practical Nurse · Tyler, TX

NPI number 1679583793 Active

Practice location

455 Rice Rd Ste 108, #108
Tyler, TX 75703-3604

Call (903) 939-0799 Map

Fax (903) 939-0799

Mailing address

108 Fenton Rd
Longview, TX 75604-1119

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	249499 (TX)

Licensed Practical Nurse: 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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About NPI 1679583793

Peggy J. Davidson, CRNP's National Provider Identifier is 1679583793, issued on Aug 9, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tyler, TX. The record was last updated on Aug 12, 2008.