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JUSTIN SCOTT BUCKNER
NPI 1104781657
Technician - Personal Care Attendant in Princeton, WV

Active since December 17, 2025
173 ORIOLE AVE, PRINCETON, WV 24740(843) 748-3050 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Scott Buckner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN SCOTT BUCKNER (NPI 1104781657) is an individual personal care attendant in Princeton, West Virginia and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1104781657
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJUSTIN SCOTT BUCKNER
Location Address173 ORIOLE AVEPrinceton, WV 24740-4126
Mailing Address173 Oriole AvePrinceton, WV 24740-4126 · (843) 748-3050
Phone(843) 748-3050
Sole ProprietorYes
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1104781657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
173 ORIOLE AVE, Princeton, WV 24740
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Buckner's NPI number?

The NPI number for Justin Buckner is 1104781657. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Justin Buckner located?

Justin Buckner practices at 173 Oriole Ave, Princeton, WV 24740. The listed phone number is (843) 748-3050.

What is Justin Buckner's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Justin Buckner was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.