Individual provider · Type 1 NPI

Jonathan Park Buckwalter, FNP-C

Family Nurse Practitioner · Prescott Valley, AZ

NPI number 1427569110 Active

Practice location

3075 N Windsong Dr Ste A
Prescott Valley, AZ 86314-1208

Mailing address

PO Box 26568
Prescott Valley, AZ 86312-6568

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN174745 (AZ)
Family Nurse Practitioner Primary 363LF0000XAP10723 (AZ)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1427569110

Jonathan Park Buckwalter, FNP-C's National Provider Identifier is 1427569110, issued on Oct 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Jul 30, 2020.