MR. CALEB JONATHON MCDONALD FNP-C NPI 1063289171

NPI Information

  • NPI: 1063289171
  • Provider Name: MR. CALEB JONATHON MCDONALD, FNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 118TH TWELFTH STREET
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 487-7936

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NPI Details

MR. Caleb Jonathon Mcdonald, FNP-C is a primary care nurse practitioner in Princeton, WV with 3 years of experience. MR. Caleb Jonathon Mcdonald, FNP-C NPI is 1063289171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

118TH TWELFTH STREET
PRINCETON, WV
ZIP 24740
Phone: (304) 487-7936

The NPI 1063289171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2023 and was last updated on 12/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care117814WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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