VANESSA AGBOLI CLARKE NP NPI 1790662336

NPI Information

  • NPI: 1790662336
  • Provider Name: VANESSA AGBOLI CLARKE, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 6248 66TH AVE
    SACRAMENTO, CA
    ZIP 95823
  • Phone: (707) 301-7744

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NPI Details

Vanessa Agboli Clarke, NP is a psychiatric/mental health nurse practitioner in Sacramento, CA. Vanessa Agboli Clarke, NP NPI is 1790662336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6248 66TH AVE
SACRAMENTO, CA
ZIP 95823-733
Phone: (707) 301-7744

The enumeration date for this NPI number is 8/18/2025 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95035223CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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