Miss Jennifer Shattuck is a Fayetteville, North Carolina based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Miss Jennifer Shattuck is 153737 for Anesthesia Administration in North Carolina. Her current practice location is 1638 Owen Dr, Fayetteville. Patients can reach her at 910-609-6440 or can fax her at 910-609-5365. Miss Jennifer Shattuck is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1104807957. Miss Jennifer Shattuck is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Miss Jennifer Shattuck speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
1638 Owen Dr, Fayetteville, North Carolina, 28304-3424
Phone:
910-609-6440
Fax:
910-609-5365
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104807957
NPI Enumeration Date:
09 Nov, 2005
NPI Last Update On:
14 Feb, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Jennifer Shattuck are as mentioned below.
License Number
Specialization
State
Status
153737
Anesthesia Administration
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Jennifer Shattuck such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
185460
Other
North Carolina
MEDCOST
8052350
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 40908, Fayetteville, North Carolina
Zip:
28309-0908
Phone Number:
910-609-6448
Fax Number:
910-609-5070
Patients can reach Miss Jennifer Shattuck at 1638 Owen Dr, Fayetteville, North Carolina or can call to book an appointment on 910-609-6440.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.