Individual provider · Type 1 NPI

Jennifer Shattuck, CRNA

Certified Registered Nurse Anesthetist · Fayetteville, NC

NPI number 1104807957 Active

Practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Fax (910) 609-5365

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X153737 (NC)

Certified Registered Nurse Anesthetist: (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1104807957

Jennifer Shattuck, CRNA's National Provider Identifier is 1104807957, issued on Nov 9, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fayetteville, NC. The record was last updated on Feb 14, 2008.