Individual
KATHRYN LYNN DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-5971
Mailing address
3812 WILKIE WAY, FORT WORTH, TX 76133-2930
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
808107
TX
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
808107
TX
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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