Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy R Clark, APRN, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1942942792

Amy R Clark, APRN, NP is a Nurse Practitioner in San Diego, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11878 Avenue Of Industry
San Diego, CA 92128-3423
Phone: (858) 487-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95020628 (CA)

Record details

NPI number1942942792
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , NP
Sole proprietorYes
NPI enumeratedApril 12, 2022
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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