Healthcare Provider Details

I. General information

NPI: 1013369388
Provider Name (Legal Business Name): WHITNEY DANNELLE DAVIDSON MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BROADWAY FL 2
NEW YORK NY
10007-0167
US

IV. Provider business mailing address

165 BROADWAY FL 23
NEW YORK NY
10006-1452
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 516-343-9284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number341514
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number702675
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: