Provider Profile
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License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052
Jeremy S. Hataway is a nurse practitioner in Grand Prairie, TX. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.
NPI registry
Jeremy S. Hataway is listed at 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (972) 522-7778. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Jeremy S. Hataway's National Provider Identifier is 1528203155. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jeremy S. Hataway has 18+ years experience. Registered with an NPI since 2008. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Jeremy S. Hataway. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.