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

Mr. Tracy Joseph Jenkins, CEO

Individual provider Driver · NPI 1790419075

Mr. Tracy Joseph Jenkins, CEO is a Driver in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022

Practice location Address checks out

6529 N Woodstock St
Philadelphia, PA 19138-3114
Phone: (267) 345-5968
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 22428191 (PA)

Record details

NPI number1790419075
Entity typeIndividual (Type 1)
GenderMale
Credentials CEO
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022

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