Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Coulter Buckman

Individual provider Family Nurse Practitioner · NPI 1376264218

Jonathan Coulter Buckman is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Ivx Health of Florida PA, a 44-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

9734 Deer Lake Ct Ste 6
Jacksonville, FL 32246-4469
Phone: (904) 339-7341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11021103 (FL)

Record details

NPI number1376264218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address2065 Brighton Bay Trl, Jacksonville, FL 32246-7214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivx Health Of Florida Pa — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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