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NPI Code Detail

MEDICARE: SHARON YVETTE GRAVES JOHNSON APRN, FNP-BC

MEDICARE: SHARON YVETTE GRAVES JOHNSON APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner859816NV
2163WE0003XEmergency Registered Nurse79959NV
3363LP2300XPrimary Care Nurse Practitioner859816NV

General Provider Information

NPI Number : 1790426658
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON YVETTE GRAVES JOHNSON APRN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 621448
Second Line :
City : LAS VEGAS
State : NV
Zip : 89162-1448
Country : US
Telephone Number : 725-253-3500
Fax Number : 702-483-5228
Provider Business Practice Location Address
First Line : 650 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5382
Country : US
Telephone Number : 702-790-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 03/26/2026

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