Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. TRACEY WIMBUSH
NPI 1144134917
Nurse Practitioner in Jacksonville, FL

Q: What is Tracey Wimbush's NPI number?

The NPI number for Tracey Wimbush is 1144134917. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Q: What is Tracey Wimbush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Wimbush was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2026

710 LOMAX ST, JACKSONVILLE, FL 32204(904) 355-6583 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Tracey Wimbush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACEY WIMBUSH (NPI 1144134917) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11051242) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1144134917

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TRACEY WIMBUSH

Location Address710 LOMAX STJacksonville, FL 32204-4004

Mailing Address2766 Eagle Haven DrGreen Cove Springs, FL 32043-5287

Phone(904) 355-6583

Sole ProprietorYes

Enumeration DateSeptember 29, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1144134917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11051242

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

710 LOMAX ST, Jacksonville, FL 32204

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE HOLLINGSWORTH PA-C, ATC

Physician Assistant