Provider Demographics
NPI:1881584027
Name:HUNT-KINGSBURY, DANIELLE NICOLE (AGPCNP-BC, RN-BSN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NICOLE
Last Name:HUNT-KINGSBURY
Suffix:
Gender:F
Credentials:AGPCNP-BC, RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 WOODCLIFF BLVD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4255
Mailing Address - Country:US
Mailing Address - Phone:640-250-1102
Mailing Address - Fax:
Practice Address - Street 1:2163 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1083
Practice Address - Country:US
Practice Address - Phone:640-250-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR20445100163W00000X
NJ26NJ15366700363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse