Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY SCOTT HATAWAY, FNP-BC
Active Sole ProprietorFamily Nurse Practitioner · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1528203155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2008 (17.36487569609 yrs)
- Last Updated
- Oct 6, 2021
- Licenses
-
5004212 (NC)670631 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4560 LAKE RIDGE PKWY STE 110GRAND PRAIRIE, TX, 750521707Browse TX providers · Browse ZIP 75052
- Phone
- 9725227778
- Fax
- 9725227779
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| JOAN SMITH | NP | 1689608028 |
| KHALILLAH S ALI | NP | 1972521417 |
| MR. JAMES ROY LUCKETT | APRN-BC | 1437353786 |
| MRS. JUDITH I UDABOR | FNP-C | 1598098196 |
| MRS. ELSIE MANUEL | MSN, APRN, FNP-BC | 1013236652 |
| MILADYS A FRIESEN | FNP | 1851698948 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.