Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gracie Latrice Jenkins

Individual provider Family Nurse Practitioner · NPI 1023967973

Gracie Latrice Jenkins is a Nurse Practitioner in Kissimmee, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026
Specialties on file
2

Practice location Address checks out

3605 Light Port Way
Kissimmee, FL 34746-1842
Phone: (689) 239-9633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11045076 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN11045076 (FL)

Record details

NPI number1023967973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Kissimmee