Jeremy Scott Hataway
FNP-BC | Nurse Practitioner - Family
4560 Lake Ridge Pkwy Ste 110, Grand Prairie
Texas, 75052-1707
972-522-7778
Jeremy Scott Hataway is a Grand Prairie, Texas based nurse practitioner who is specialized as Family nurse. Active license number of Jeremy Scott Hataway is 670631 for Family in Texas. His current practice location is 4560 Lake Ridge Pkwy Ste 110, Grand Prairie. Patients can reach him at 972-522-7778 or can fax him at 972-522-7779. Jeremy Scott Hataway is FNP-BC with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1528203155.
Jeremy Scott Hataway delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Jeremy Scott Hataway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jeremy Scott Hataway |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | FNP-BC |
| Practice Address: | 4560 Lake Ridge Pkwy Ste 110, Grand Prairie,
Texas, 75052-1707 |
| Phone: | 972-522-7778 |
| Fax: | 972-522-7779 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1528203155 |
| NPI Enumeration Date: | 11 Dec, 2008 |
| NPI Last Update On: | 06 Oct, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeremy Scott Hataway are as mentioned below.
| License Number | Specialization | State | Status | |
| 670631 | Family | Texas | Primary | |
| 5004212 | Family | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeremy Scott Hataway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 670631 | Other | Texas | NP LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeremy Scott Hataway
4560 Lake Ridge Pkwy Ste 110,
Grand Prairie, Texas |
| Zip: | 75052-1707 |
| Phone Number: | 972-522-7778 |
| Fax Number: | 972-522-7779 |
Patients can reach Jeremy Scott Hataway at
4560 Lake Ridge Pkwy Ste 110, Grand Prairie, Texas or can
call to book an appointment on 972-522-7778.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.