Individual provider · Type 1 NPI

Sharie Johnson

Nurse Practitioner · Lakeport, CA

NPI number 1487454450 Active

Practice location

987 Parallel Dr Ste C
Lakeport, CA 95453-5708

Mailing address

5176 Hill Rd E
Lakeport, CA 95453-6300

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.530587 (OH)
Nurse Practitioner 363L00000XAPRN.CNP.0039663 (OH)
Nurse Practitioner Primary 363L00000X95036599 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487454450

Sharie Johnson's National Provider Identifier is 1487454450, issued on Mar 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeport, CA. The record was last updated on Aug 12, 2025.