Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann Shattuck, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1417566936

Ann Shattuck, APRN is a Nurse Practitioner in North Charleston, South Carolina. Qualified in 2020, 6 years ago. Practices with Bon Secours St Francis Xavier Hospital Inc, a 202-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2910 Tricom St Ste 100
North Charleston, SC 29406-9351
Phone: (843) 572-9211
Fax: (843) 572-0457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 24125 (SC)

Record details

NPI number1417566936
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bon Secours St Francis Xavier Hospital Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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