Individual provider · Type 1 NPI
Ann Shattuck, APRN
Gerontology Nurse Practitioner · North Charleston, SC
NPI number
1417566936
Active
Practice location
2910 Tricom St Ste 100
North Charleston, SC 29406-9351
Fax (843) 572-0457
Mailing address
PO Box 751874
Charlotte, NC 28275-1874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 24125 (SC) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in North Charleston
About NPI 1417566936
Ann Shattuck, APRN's National Provider Identifier is 1417566936, issued on Jul 30, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in North Charleston, SC. The record was last updated on Sep 30, 2025.