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

Jessica Hathaway

Individual provider Family Nurse Practitioner · NPI 1366114746

Jessica Hathaway is a Nurse Practitioner in Rochester Hills, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2021, 5 years ago. Practices with Michigan United Physicians PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

2450 Walton Blvd
Rochester Hills, MI 48309-1481
Phone: (248) 650-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 W University Dr, Rochester, MI 48307-1863 — (352) 586-1050

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704336511 (MI)

Record details

NPI number1366114746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Michigan United Physicians Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rochester Hills