Ms. Kimberly Marie Stack
PMHNP-BC | Nurse Practitioner
954 Route 146 Ste 3, Clifton Park
New York, 12065-3639
518-952-4000
Ms. Kimberly Marie Stack is a Clifton Park, New York based nurse practitioner. Active license number of Ms. Kimberly Marie Stack is 402216 for Psych/Mental Health in New York. Her current practice location is 954 Route 146 Ste 3, Clifton Park. Patients can reach her at 518-952-4000 or can fax her at 833-974-2234. Ms. Kimberly Marie Stack is PMHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1366413536.
Ms. Kimberly Marie Stack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Kimberly Marie Stack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Kimberly Marie Stack |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Practice Address: | 954 Route 146 Ste 3, Clifton Park,
New York, 12065-3639 |
| Phone: | 518-952-4000 |
| Fax: | 833-974-2234 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1366413536 |
| NPI Enumeration Date: | 27 Jan, 2006 |
| NPI Last Update On: | 02 Jun, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kimberly Marie Stack are as mentioned below.
| License Number | Specialization | State | Status | |
| 402216 | Psych/Mental Health | New York | Primary | |
| F402216 | Nurse Practitioner | New York | Secondary | |
| 0001125389 | Nurse Anesthetist, Certified Registered | Virginia | Secondary | |
| 426056-1 | Nurse Anesthetist, Certified Registered | New York | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Kimberly Marie Stack
954 Route 146 Ste 3,
Clifton Park, New York |
| Zip: | 12065-3639 |
| Phone Number: | 518-952-4000 |
| Fax Number: | 833-974-2234 |
Patients can reach Ms. Kimberly Marie Stack at
954 Route 146 Ste 3, Clifton Park, New York or can
call to book an appointment on 518-952-4000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.