Peggy J Davidson in Longview - Licensed Practical Nurse
Peggy J Davidson - NPI 1679583793
Peggy J Davidson is a Licensed Practical Nurse in Longview, Texas. Peggy J Davidson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Peggy J Davidson is 1679583793. The last update date is 2008-08-12.
Peggy J Davidson's current location address is 108 Fenton Rd, Longview, Texas. You can contact this provider via phone number 9039390799 and fax number 9039390799. The mailing address for Peggy J Davidson is 108 Fenton Rd, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peggy J Davidson |
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Address | 108 Fenton Rd, Longview, Texas |
Phone Number | 9039390799 |
Fax Number | 9039390799 |
Sole Proprietor | Y |
Credentials | CRNP |
NPI Number Detail
NPI Number | 1679583793 |
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Provider Enumeration Date | 2006-08-09 |
Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
Address | 108 Fenton Rd |
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City | Longview |
State | Texas (TX) |
Post Code | 756041119 |
Phone Number | 9039390799 |
Fax Number | 9039390799 |
Provider's Primary Taxonomy Detail
Speciality | Licensed Practical Nurse |
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Taxonomy | 164W00000X |
Licence No | 249499 |
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 r |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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175568801 | TX | -- |
Post Comment/ Review Below
What is the Peggy J Davidson's 1679583793?
The Peggy J Davidson's NPI (National Provider Identifier) Number is 1679583793. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Peggy J Davidson's facilities are situated?
The facilities of Peggy J Davidson are physically located at the following address: 108 Fenton Rd, Longview, TX, 756041119.
What is Peggy J Davidson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peggy J Davidson's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679583793 to Peggy J Davidson?
The Peggy J Davidson received its 1679583793 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date were the details pertaining to Peggy J Davidson last refreshed?
The information related to the Peggy J Davidson, including its address, specialty, and other relevant details, was last updated on 2008-08-12.