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

Kathleen Jenkins, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1225640063

Kathleen Jenkins, AGACNP-BC is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2020, 6 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

303 N Clyde Morris Blvd Ste 550
Daytona Beach, FL 32114-2709
Phone: (386) 255-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11008798 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2020002972 (FL)

Record details

NPI number1225640063
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 22, 2020
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

Other providers in Daytona Beach