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

Kenyatta Dacres

Individual provider Family Nurse Practitioner · NPI 1356922850

Kenyatta Dacres is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with Florida Institute of Pain Medicine LLC, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4510 Rainer Rd
Jacksonville, FL 32210-7058
Phone: (904) 535-1977
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11012249 (FL)

Record details

NPI number1356922850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2021
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

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 Institute Of Pain Medicine Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jacksonville