| Miss Jennifer Shattuck, CRNA | |
|
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
| (910) 609-6440 | |
| (910) 609-5365 |
| Full Name | Miss Jennifer Shattuck |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1638 Owen Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104807957 | NPI | - | NPPES |
| 185460 | Other | NC | MEDCOST |
| 8052350 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 153737 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jennifer Shattuck, CRNA Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 609-6448 | Miss Jennifer Shattuck, CRNA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 609-6440 |
Mrs. Leesa Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 | |
Dr. Jonathan Ray Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-323-3757 | |
Edelrose Fortea Bacanto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 805-509-7556 | |
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236 | |
Mrs. Debbie Morales, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 |