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

Donna M Clark, GNP

Individual provider Registered Nurse · NPI 1104832617

Donna M Clark, GNP is a Registered Nurse in Vista, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
4

Practice location Address checks out

130 Cedar Rd Ste 200
Vista, CA 92083-5102
Phone: (760) 806-5620
Fax: (760) 806-5639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 6328 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN485608 (CA)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence RN485608 (CA)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence RN485608 (CA)

Record details

NPI number1104832617
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 2, 2013
Mailing address10170 Sorrento Valley Rd, San Diego, CA 92121-1604

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