NPI age
19 years
Enumerated 2006-08-09
● Active
Type 1 · Individual
Peggy J Davidson, CRNP
Davidson is 1 of 16 licensed practical nurse providers in Tyler and 1 of 715 in Texas.
Primary specialty
Licensed Practical Nurse
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 715 active licensed practical nurse providers in Texas.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
455 Rice Rd Ste 108, #108
Tyler, TX 757033604
Mailing address
108 Fenton Rd
Longview, TX 756041119
Specialties
-
Licensed Practical Nurse PrimaryAn 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 175568801 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.