Jessica Shattuck
Nurse Practitioner - Women's Health
108 Slippery Rock Ln
Berea
, Ohio 44017-3155
Jessica Shattuck
Nurse Practitioner - Women's Health
108 Slippery Rock Ln
Berea
, Ohio 44017-3155
(440) 610-3710
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jessica Shattuck
- 108 Slippery Rock Ln
- Berea, OH
- Zip : 44017-3155
- Phone : (440) 610-3710
Second Address
- Jessica Shattuck
- 108 Slippery Rock Ln
- Berea, OH
- Zip : 44017-3155
- Phone : (440) 610-3710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | 0027135 | OH |
National Provider Identifier
| NPI | 1003425281 |
|---|---|
| Provider Name | Jessica Shattuck |
| First Address | Berea, OH 44017-3155 |
| Second Address | Berea, OH 44017-3155 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2020 |
| Last Update Date | 02/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.