Individual provider · Type 1 NPI
Amy R. Clark, APRN, NP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1942942792
Active
Practice location
11878 Avenue Of Industry
San Diego, CA 92128-3423
Mailing address
5055 N Harbor Dr Ste 320
San Diego, CA 92106-2302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95020628 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942942792
Amy R. Clark, APRN, NP's National Provider Identifier is 1942942792, issued on Apr 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Sep 16, 2025.