Individual provider · Type 1 NPI
Laura Beth Davenport, FNP-C
Nurse Practitioner · Tyler, TX
Practice location
520 Douglas Blvd
Tyler, TX 75702-8307
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Other practice locations
- 619 S Fleishel Ave Ste 327, Tyler, TX 75701-2019 · (903) 606-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP129297 (TX) |
Nurse Practitioner: (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 wit…
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About NPI 1679944946
Laura Beth Davenport, FNP-C's National Provider Identifier is 1679944946, issued on Oct 13, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 19, 2025.