Nancy J. Zenisek, CFNP, provides family nurse practitioner services in Chula Vista's Otay Ranch area on Pinehurst Road within the 91915 ZIP code near Eastlake Parkway. Her primary care scope includes chronic disease management protocols that frequently require prescription coordination with independent pharmacies such as Sunrise Pharmacy. As a Certified Family Nurse Practitioner, Zenisek holds prescriptive authority under California Business and Professions Code Section 2836.1, enabling independent management of medication regimens for conditions including hypertension and type 2 diabetes. Her panel management across the Otay Ranch and Eastlake residential corridor covers adult and pediatric primary care, with annual vision referrals coordinated through providers including Eastlake Optometry along Eastlake Parkway. Clinical capabilities extend to annual physical examinations, well-woman visits, and point-of-care hemoglobin A1c testing for glycemic monitoring.