Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawna Charnissa Davidson, NP

Individual provider Family Medicine Physician · NPI 1225432420

Shawna Charnissa Davidson, NP is a Nurse Practitioner in Long Island City, New York. Qualified in 2014, 12 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3817 28th St
Long Island City, NY 11101-2727
Phone: (646) 522-2528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 338905 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 338905 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 338905 (NY)

Record details

NPI number1225432420
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 16, 2014
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Long Island City