JENNIFER SHATTUCK NPI 1386920304

NPI Information

NPI: 1386920304
Provider Name: JENNIFER SHATTUCK
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
108 EDUCATION DR
MPMS ROOM 127
SCHENECTADY, NY
ZIP 12303
Phone: (518) 881-3413
Get Directions

Jennifer Shattuck is a school registered nurse in Schenectady, NY. Jennifer Shattuck NPI is 1386920304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 EDUCATION DR
MPMS ROOM 127
SCHENECTADY, NY
ZIP 12303-238
Phone: (518) 881-3413
Fax: (518) 881-3411

The enumeration date for this NPI number is 10/24/2011 and was last updated on 10/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	516385	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01406986	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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