MEDICARE: MRS. GABRIELLA NICOLE QUIGLEY APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ01165100	NJ
2	163W00000X	Registered Nurse	26NR22634600	NJ
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11008608	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982261392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GABRIELLA NICOLE QUIGLEY APN

Provider Business Mailing Address
First Line	:	168 STATION RD
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-2123
Country	:	US
Telephone Number	:	727-256-4747
Fax Number	:	732-209-8002

Provider Business Practice Location Address
First Line	:	509 MAIN ST
Second Line	:	BUILDING A, SUITE C
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-998-5299
Fax Number	:	732-209-8002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	03/12/2026

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