Active NPI
Demorris Deantres Jenkins, ARNP
- Nurse Practitioner
- Boynton Beach, FL
National Provider Identifier
1114884764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11044942
- Practice address
- 101 S Federal Hwy Apt 538
Boynton Beach, FL 33435-2962 - Phone
- (561) 247-0548
- NPI assigned
- Jan 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11044942 | FL | Primary |
Addresses
Primary practice location
101 S Federal Hwy Apt 538
Boynton Beach, FL 33435-2962
Mailing address
101 S Federal Hwy Apt 538
Boynton Beach, FL 33435-2962
Phone (812) 725-4164
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11044942 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773532800000",
"number": "1114884764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S FEDERAL HWY APT 538",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352962",
"telephone_number": "812-725-4164",
"fax_number": "812-725-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S FEDERAL HWY APT 538",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352962",
"telephone_number": "561-247-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DEMORRIS",
"middle_name": "DEANTRES",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-06",
"last_updated": "2026-03-15",
"certification_date": "2026-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11044942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.