Provider Demographics
NPI:1194518829
Name:KUHN, GABRIELLE AQUILLA (FNP-C)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:AQUILLA
Last Name:KUHN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:AQUILLA
Other - Last Name:WADDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2204 MEGAN CIR APT C
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8865
Mailing Address - Country:US
Mailing Address - Phone:336-430-9226
Mailing Address - Fax:
Practice Address - Street 1:1730 KERNERSVILLE MEDICAL PKWY STE 210
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-7198
Practice Address - Country:US
Practice Address - Phone:336-515-7440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022231363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner