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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN PARK BUCKWALTER, FNP-C

Active

JONATHAN PARK BUCKWALTER, FNP-C is a Family Nurse Practitioner healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1427569110 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PRESCOTT VALLEY, AZ

Registration Details

NPI Number
1427569110
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2017 (8.8021072130238 yrs)
Last Updated
Jul 30, 2020
Licenses
RN174745 (AZ)
AP10723 (AZ)

Practice Information

Address
3075 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ, 863141208
Browse AZ providers · Browse ZIP 86314
Phone
9283508780
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in PRESCOTT VALLEY, AZ

Name Credential NPI
PEGGY TOWLES FNP-C 1598768871
MR. DAVID R BRIANT RNP 1356340707
MS. MILDA HARRIET ROGERS CFNP 1619952413
KAREN M JAMISON NP 1760455018
AMY M THEIN FNP 1124199492
SHELLY BETHANN DAMSCHRODER NP 1164750923
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.