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

Jonathan Park Buckwalter, FNP-C

Individual provider Registered Nurse · NPI 1427569110

Jonathan Park Buckwalter, FNP-C is a Registered Nurse in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
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

3075 N Windsong Dr Ste A
Prescott Valley, AZ 86314-1208
Phone: (928) 350-8780
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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 AP10723 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN174745 (AZ)

Record details

NPI number1427569110
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 20, 2017
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

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