Gracie Latrice Jenkins
Nurse Practitioner, Family in Kissimmee, FL. Individual provider (NPI-1).
NPI number1023967973
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1023967973
- Entity type
- Individual (NPI-1)
- Name
- Gracie Latrice Jenkins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2026
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11045076 | FL | Yes |
| 207Q00000X | Family Medicine | APRN11045076 | FL |
Practice location
3605 Light Port WayKissimmee, FL 34746-1842
Phone 689-239-9633
Mailing address
3605 Light Port WayKissimmee, FL 34746-1842
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All 252 Family Nurse Practitioner providers in Kissimmee · All 7,630 providers in Kissimmee
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