Provider Demographics
NPI:1538672126
Name:JOHNSON, SHARANNA S (DNP, PMHNP-B, FNP-BC)
Entity type:Individual
Prefix:
First Name:SHARANNA
Middle Name:S
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DNP, PMHNP-B, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BUDINGER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4123
Mailing Address - Country:US
Mailing Address - Phone:321-841-6444
Mailing Address - Fax:407-650-1307
Practice Address - Street 1:1330 BUDINGER AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4123
Practice Address - Country:US
Practice Address - Phone:321-841-6444
Practice Address - Fax:407-650-1307
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9481943363LA2200X, 363LF0000X
AZ248402363LF0000X, 363LP0808X
IAA163943363LF0000X, 363LP0808X
TN29936363LF0000X
MDAC006839363LP0808X, 363LF0000X
FL9481943363LP0808X
WAAP61558723363LP0808X, 363LF0000X
WY46550363LF0000X
CA95022245363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health