KWINICA ANTONETTE DAVIDSON RN
NPI 1770317067
Registered Nurse - Infusion Therapy in Shreveport, LA

Active since August 28, 2024
6120 LAND O TREES ST, SHREVEPORT, LA 71119(318) 560-1702 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kwinica Antonette Davidson Rn NPPES

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

KWINICA ANTONETTE DAVIDSON RN (NPI 1770317067) is an individual infusion therapy provider in Shreveport, Louisiana, licensed in Louisiana (202890) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1770317067
Entity TypeIndividualFemale
Primary Taxonomy163WI0500X
Provider Legal NameKWINICA ANTONETTE DAVIDSONCredential: RN
Location Address6120 LAND O TREES STShreveport, LA 71119-7404
Mailing Address6120 Land O Trees StShreveport, LA 71119-7404 · (318) 560-1702
Sole ProprietorYes
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1770317067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Infusion TherapyNursing Service Providers
Taxonomy Code163WI0500X
License Licensed in LA · 202890
6120 LAND O TREES ST, Shreveport, LA 71119

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770317067, enumerated as an "individual" on August 28, 2024.

The provider is located at 6120 LAND O TREES ST SHREVEPORT, LA 71119 and the phone number is (318) 560-1702.

Registered Nurse with taxonomy code 163WI0500X and a focus in Infusion Therapy.