Individual provider · Type 1 NPI

Mary Angelyn Joves Clark, MSN, APRN

Nurse Practitioner · Walnut Creek, CA

NPI number 1053887455 Active

Practice location

177 La Casa Via Ste 390
Walnut Creek, CA 94598-6101

Mailing address

1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XNP95009579 (CA)
Nurse Practitioner Primary 363L00000XNP95009579 (CA)
Registered Nurse 163W00000X95068012 (CA)
Family Nurse Practitioner 363LF0000XNP95009579 (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 1053887455

Mary Angelyn Joves Clark, MSN, APRN's National Provider Identifier is 1053887455, issued on Oct 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Oct 9, 2025.