Healthcare Provider Details

I. General information

NPI: 1356545636
Provider Name (Legal Business Name): SHARON KAY JOHANNS MSN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 RALSTON ST
VENTURA CA
93003-7318
US

IV. Provider business mailing address

15394 W FARM ROAD 68
ASH GROVE MO
65604-8952
US

V. Phone/Fax

Practice location:
  • Phone: 805-339-6400
  • Fax:
Mailing address:
  • Phone: 512-538-4619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number663872
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number120133
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024776
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: