MISS Jennifer Shattuck, CRNA
NPI #1104807957 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1104807957
- Entity Type
- Individual
- Name
- MISS Jennifer Shattuck, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Feb 14, 2008
Practice Location
- Address
- 1638 OWEN DR
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-3424
- Phone
- (910) 609-6440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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