Provider Demographics
NPI:1952193377
Name:PINSON-DAVIS, LAURIE N (RN)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:N
Last Name:PINSON-DAVIS
Suffix:
Gender:X
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4033 RIDGETOP DR
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3601
Mailing Address - Country:US
Mailing Address - Phone:214-732-7678
Mailing Address - Fax:
Practice Address - Street 1:4033 RIDGETOP DR
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-3601
Practice Address - Country:US
Practice Address - Phone:214-732-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95296297163W00000X
TX953649163WC1500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health