Vanessa Agboli Clarke, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95035223 Issued in CA

Practice address

6248 66TH Ave
Sacramento, CA 95823-2733

Phone

(707) 301-7744

NPI assigned

Aug 18, 2025

Last updated

Dec 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Vanessa Agboli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1790662336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 JUBILEE LN",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 66TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232733",
            "telephone_number": "707-301-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOLI CLARKE",
        "first_name": "VANESSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035223",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95141638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "AGBOLI",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Aganon, PT
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• Oma N Agbai, MD
• Thuy Vo Agbodike
• Jackie Lynn Agee, M.D.
• Agelong Home Care, LLC
• Michelle Ashley Ager
• Ashna Aggarwal, MD
• Gaurav Aggarwal, MD

• Psychiatric/Mental Health Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.