Individual provider Active NPI

Ronda Jenkins-Clark, MSN, FNP-C

  • Family Nurse Practitioner
  • Miramar Beach, FL
National Provider Identifier
1043153968
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06261393 Issued in FL
Practice address
55 Bay Tree Dr
Miramar Beach, FL 32550-4882
Phone
(870) 450-6188
NPI assigned
Apr 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06261393 FL Primary

Addresses

Primary practice location

55 Bay Tree Dr
Miramar Beach, FL 32550-4882

Mailing address

55 Bay Tree Dr
Miramar Beach, FL 32550-4882
Phone (870) 450-6188

Other names 1

  • Ronnie Jenkins-Clark Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1043153968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BAY TREE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504882",
            "telephone_number": "870-450-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BAY TREE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504882",
            "telephone_number": "870-450-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-CLARK",
        "first_name": "RONDA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F06261393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "JENKINS-CLARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.