Jeremy Scott Hataway is a Family Nurse Practitioner based in Grand Prairie, TX and is specialized in Family. Jeremy Scott Hataway practices in Grand Prairie, TX and has the professional credentials of FNP-BC. The NPI Number for Jeremy Scott Hataway is 1528203155 and holds a License No. 5004212 (Texas).
The current practice location address for Jeremy Scott Hataway is 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX and can be reached out via phone at 972-522-7778 and via fax at 972-522-7779.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670631 | 01 | TX | NP LICENSE |
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