Jennifer Shattuck, CRNA
NPI 1104807957 · Certified Registered Nurse Anesthetist · Fayetteville, NC
Jennifer Shattuck, CRNA is a Certified Registered Nurse Anesthetist provider in Fayetteville, NC (NPI 1104807957).
Provider details
- NPI number
- 1104807957
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 153737 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-09
- Last updated
- 2008-02-14
Frequently asked questions
- What is Jennifer Shattuck's NPI number?
- Jennifer Shattuck's National Provider Identifier (NPI) is 1104807957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Shattuck's specialty?
- Jennifer Shattuck is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Shattuck located?
- Jennifer Shattuck's practice location on file with NPPES is 1638 Owen Dr, Fayetteville, NC 28304-3424.
- What is Jennifer Shattuck's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Shattuck is (910) 609-6440.
- Is Jennifer Shattuck's NPI active?
- Yes — Jennifer Shattuck's NPI (1104807957) is active in the NPPES registry as of the last update on 2008-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.