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

Jonathan Edward Caudle, FNP-C

Individual provider Family Nurse Practitioner · NPI 1437658960

Jonathan Edward Caudle, FNP-C is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2017, 9 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Mississippi.

Years since qualifying
9
Licensed in
CO, MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801
Phone: (662) 377-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 135 County Highway 162, Brilliant, AL 35548-4103 — (205) 412-4462
  • 830 S Gloster St, Tupelo, MS 38801 — (662) 377-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902847 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0993670-NP (CO)

Record details

NPI number1437658960
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2018
Last updated in NPPESNovember 28, 2018
Mailing address830 S Gloster St, Tupelo, MS 38801-4996

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Tupelo