Provider Demographics
NPI:1356545636
Name:JOHANNS, SHARON KAY (MSN FNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KAY
Last Name:JOHANNS
Suffix:
Gender:
Credentials:MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15394 W FARM ROAD 68
Mailing Address - Street 2:
Mailing Address - City:ASH GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65604-8952
Mailing Address - Country:US
Mailing Address - Phone:512-538-4619
Mailing Address - Fax:
Practice Address - Street 1:5250 RALSTON ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7318
Practice Address - Country:US
Practice Address - Phone:805-339-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663872363LF0000X
MO120133363LF0000X
CA95024776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO120133OtherMISSOURI #120133
TX663872OtherTEXAS RN FNP #