Jennifer Shattuck in Fayetteville - Nurse Anesthetist, Certified Registered
Jennifer Shattuck - NPI 1104807957
Jennifer Shattuck is a Nurse Anesthetist, Certified Registered in Fayetteville, North Carolina. Jennifer Shattuck practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jennifer Shattuck is 1104807957. The last update date is 2008-02-14.
Jennifer Shattuck's current location address is Po Box 40908, Fayetteville, North Carolina. You can contact this provider via phone number 9106096448 and fax number 9106095070. The mailing address for Jennifer Shattuck is Po Box 40908, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Shattuck |
|---|---|
| Address | Po Box 40908, Fayetteville, North Carolina |
| Phone Number | 9106096448 |
| Fax Number | 9106095070 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1104807957 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
| Address | Po Box 40908 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283090908 |
| Phone Number | 9106096448 |
| Fax Number | 9106095070 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 153737 |
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Definition: (1) A licensed 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185460 | NC | MEDCOST | |
| 8052350 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Shattuck by the Centers for Medicare & Medicaid Services?
The Jennifer Shattuck has been assigned the NPI (National Provider Identifier) 1104807957. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer Shattuck's facilities are geographically located?
The facilities of Jennifer Shattuck are physically situated at the following location: Po Box 40908, Fayetteville, NC, 283090908.
What is the area of specialization for Jennifer Shattuck, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Shattuck is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.
On what date did the Jennifer Shattuck receive the assignment of its 1104807957 from the Centers for Medicare & Medicaid Services?
The Jennifer Shattuck was issued its 1104807957 by the Centers for Medicare & Medicaid Services on 2005-11-09.
As of what date were the Jennifer Shattuck's details last updated?
The information pertaining to the Jennifer Shattuck, including its address, specialty, and other details, was most recently updated on 2008-02-14.
NPI Number: 1982607784
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