Healthcare Provider Details

I. General information

NPI: 1023784881
Provider Name (Legal Business Name): NICOLE LORRAINE ADONA DNP, FNP-C, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9984 SCRIPPS RANCH BLVD
SAN DIEGO CA
92131-1825
US

IV. Provider business mailing address

9984 SCRIPPS RANCH BLVD
SAN DIEGO CA
92131-1825
US

V. Phone/Fax

Practice location:
  • Phone: 858-224-4025
  • Fax:
Mailing address:
  • Phone: 858-224-4025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018143
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95018143
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95018143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: