JEREMY HATAWAY, FNP-BC

Nurse Practitioner - Family

Active Individual
NPI: 1528203155

Practice Address

4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052

Phone: (972) 522-7778

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 670631 (TX)

Frequently Asked Questions

NPI 1528203155 is the National Provider Identifier for JEREMY HATAWAY, FNP-BC, a Nurse Practitioner - Family provider located in Grand Prairie, TX. This NPI was enumerated on December 11, 2008.
JEREMY HATAWAY, FNP-BC practices at 4560 LAKE RIDGE PKWY STE 110, Grand Prairie, TX 75052.

Quick Facts

NPI
1528203155
Type
Individual
Enumerated
Dec 11, 2008
Last Updated
Oct 6, 2021

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