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

Miss. Kimberly Ann Stack, AGPCNP-BC

Individual provider Other Specialist/Technologist · NPI 1316744287

Miss. Kimberly Ann Stack, AGPCNP-BC is an Other Specialist/Technologist in Toms River, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

277 Nj - 70
Toms River, NJ 08755
Phone: (212) 516-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ15212300 (NJ)
Other Specialist/Technologist Taxonomy 246Z00000X · Licence 26NJ15212300 (NJ)

Record details

NPI number1316744287
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedFebruary 27, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025