Healthcare Provider Details

I. General information

NPI: 1700684214
Provider Name (Legal Business Name): GENEVIEVE SHARON DAVIS AGNP - BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 OUTLET CENTER DR
OXNARD CA
93036-0677
US

IV. Provider business mailing address

1910 OUTLET CENTER DR
OXNARD CA
93036-0677
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-2400
  • Fax: 805-485-3025
Mailing address:
  • Phone: 805-485-2400
  • Fax: 805-485-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95034247
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number802572
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95034247
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95034247
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: