Individual provider · Type 1 NPI
Gracie Latrice Jenkins
Family Nurse Practitioner · Kissimmee, FL
NPI number
1023967973
Active
Practice location
3605 Light Port Way
Kissimmee, FL 34746-1842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11045076 (FL) |
| Family Medicine Physician | 207Q00000X | APRN11045076 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023967973
Gracie Latrice Jenkins's National Provider Identifier is 1023967973, issued on Jan 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kissimmee, FL. The record was last updated on May 22, 2026.