Healthcare Provider Details

I. General information

NPI: 1477468783
Provider Name (Legal Business Name): JULIANNE M KINGSLEY MSN, RN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 HUDSON ST APT 209S
HOBOKEN NJ
07030-7407
US

IV. Provider business mailing address

1201 HUDSON ST APT 209S
HOBOKEN NJ
07030-7407
US

V. Phone/Fax

Practice location:
  • Phone: 908-477-1960
  • Fax:
Mailing address:
  • Phone: 908-477-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number383985
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: