Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gwen Marie Shattuck, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1497204432

Gwen Marie Shattuck, APRN, FNP-C is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2016, 10 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
10
Licensed in
SC
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Phone: (843) 577-6957
Fax: (843) 577-6523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20416 (SC)

Record details

NPI number1497204432
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedOctober 3, 2016
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 2016 (10 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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