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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KIMBERLY ANN STACK, AGPCNP-BC

Active Sole Proprietor

MISS KIMBERLY ANN STACK, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in TOMS RIVER, New Jersey. NPI 1316744287 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · TOMS RIVER, NJ

Registration Details

NPI Number
1316744287
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2025 (1.2717300780494 yrs)
Last Updated
Aug 11, 2025
Licenses
26NJ15212300 (NJ)
26NJ15212300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
277 NJ - 70
TOMS RIVER, NJ, 08755
Browse NJ providers · Browse ZIP 08755
Phone
2125162300
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in TOMS RIVER, NJ

Name Credential NPI
MS. CAROL ANN NEUHAUS R.N, A.P.N.C. 1295828861
JOAN GALE YETMAN NP 1902139041
ANNETTE ERIC D'SOUZA APN 1407390735
MIHAELA MICHAEL AGACNP 1912419169
MARITESS ALCOBER REYES APN-C 1568028819
JAIME JO COSTAGLIOLA MSN, APN, CEN 1134756323
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.