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PEGGY J DAVIDSON CRNP
NPI 1679583793
Licensed Practical Nurse in Tyler, TX

Active since August 09, 2006
455 RICE RD STE 108, #108, TYLER, TX 75703(903) 939-0799(903) 939-0799 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peggy J Davidson Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGGY J DAVIDSON CRNP (NPI 1679583793) is an individual licensed practical nurse in Tyler, Texas, licensed in Texas (249499) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1679583793
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePEGGY J DAVIDSONCredential: CRNP
Location Address455 RICE RD STE 108, #108Tyler, TX 75703-3604
Mailing Address108 Fenton RdLongview, TX 75604-1119 · (903) 939-0799 · Fax (903) 939-0799
Phone(903) 939-0799
Fax(903) 939-0799
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 12, 2008
✔ NPI 1679583793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 249499
Definition
A licensed practical nurse 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.
455 RICE RD STE 108, Tyler, TX 75703
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Other Identifiers 2

Medicare PIN611817TX
Medicaid175568801TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peggy Davidson's NPI number?

The NPI number for Peggy Davidson is 1679583793. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Peggy Davidson located?

Peggy Davidson practices at 455 Rice Rd Ste 108 #108, Tyler, TX 75703. The listed phone number is (903) 939-0799.

What is Peggy Davidson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Peggy Davidson was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.