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

John William Hathaway Jr., FNP

Individual provider Family Nurse Practitioner · NPI 1497641732

John William Hathaway Jr., FNP is a Family Nurse Practitioner in Lake Elsinore, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

31571 Canyon Estates Dr Ste 228
Lake Elsinore, CA 92532-0425
Phone: (951) 471-0200
Show map & directions

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

Additional practice locations (1)

  • 4646 Brockton Ave Ste 202-4, Riverside, CA 92506-0172 — (951) 471-0200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95035568 (CA)

Record details

NPI number1497641732
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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