Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Stockstill Bukowski, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1346709839

Kimberly Stockstill Bukowski, FNP-BC is a Nurse Practitioner in Jacksonville, North Carolina. Qualified in 2018, 8 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4 Ofc Park DR
Jacksonville, NC 28546-7325
Phone: (910) 353-6158
Fax: (910) 353-7257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Midtown Dr, Beaufort, SC 29906-5200 — (843) 770-4588

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22721 (SC)

Record details

NPI number1346709839
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 14, 2019
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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