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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANN SHATTUCK, APRN

Active

ANN SHATTUCK, APRN is a Gerontological Nurse Practitioner healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1417566936 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · NORTH CHARLESTON, SC

Registration Details

NPI Number
1417566936
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2020 (6.0429986552623 yrs)
Last Updated
Sep 30, 2025
License
24125 (SC)

Practice Information

Address
2910 TRICOM ST STE 100
NORTH CHARLESTON, SC, 294069351
Browse SC providers · Browse ZIP 29406
Phone
8435729211
Fax
8435720457
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.