Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Ryan Hathaway, DO

Individual provider Family Medicine Physician · NPI 1265203277

Jacob Ryan Hathaway, DO is a Family Medicine Physician in Camp Lejeune, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025-03782 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265203277
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 10, 2024
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address221 E Mallard Dr Apt 116, Boise, ID 83706-6603

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