John William Hathaway Jr.

FNP | Nurse Practitioner - Family

31571 Canyon Estates Dr Ste 228, Lake Elsinore
  California, 92532-0425
951-471-0200
May or may not accept Medicare Nurse Practitioner in Lake Elsinore, California.
John William Hathaway Jr. is a Lake Elsinore, California based nurse practitioner who is specialized as Family NP. Active license number of John William Hathaway Jr. is 95035568 for Family NP in California. His current practice location is 31571 Canyon Estates Dr Ste 228, Lake Elsinore. Patients can reach him at 951-471-0200. John William Hathaway Jr. is FNP with specialization in Family NP and his NPI number (Unique professional ID assigned by NPPES) is 1497641732.
John William Hathaway Jr. 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:
John William Hathaway Jr. speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: John William Hathaway Jr.
Specialization: Nurse Practitioner - Family (FNP)
Gender:Male
Credentials: FNP
Practice Address:31571 Canyon Estates Dr Ste 228, Lake Elsinore,
California, 92532-0425
Phone:951-471-0200
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: 1497641732
NPI Enumeration Date: 13 Jun, 2025
NPI Last Update On: 11 May, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John William Hathaway Jr. are as mentioned below.
License NumberSpecializationStateStatus
95035568Family NP CaliforniaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: John William Hathaway Jr.
138 Bracebridge Rd,
Riverside, California
Zip: 92506-6114
Phone Number: 951-454-7086
Patients can reach John William Hathaway Jr. at 31571 Canyon Estates Dr Ste 228, Lake Elsinore, California or can call to book an appointment on 951-471-0200.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.