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Gwen Marie Shattuck, APRN,FNP-C
Family Nurse Practitioner in Charleston, South Carolina
NPI 1497204432

Gwen Marie Shattuck is a Family Nurse Practitioner based in Charlotte, SC and is specialized in Family. Gwen Marie Shattuck practices in Charleston, SC and has the professional credentials of APRN,FNP-C. The NPI Number for Gwen Marie Shattuck is 1497204432 and holds a License No. 20416 (South Carolina).

The current practice location address for Gwen Marie Shattuck is 2085 Henry Tecklenburg Dr, Charleston, SC and can be reached out via phone at 843-577-6957.

Location: 2085 Henry Tecklenburg Dr, Charleston, SC, 28275-1874
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Provider Profile Details
NPI Number
1497204432
Provider Name
Gwen Marie Shattuck
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2085 Henry Tecklenburg Dr, Charleston, SC, 28275-1874
Phone Number
843-577-6957
Fax Number
Provider Enumeration Date
10/03/2016
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4288 05 SC
institution
Provider Business Practice Location Address Details
Address
2085 Henry Tecklenburg Dr
City
State
Zip
29414-7710
Phone Number
843-577-6957
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Henry Tecklenburg Dr
City
State
Zip
29414-7710
Phone Number
843-577-6957
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20416 (South Carolina)
Definition
Definition to come...
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