Individual
DR. SHANIQUE SHERITA SHAW AMPIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 117, JACKSONVILLE, FL 32258-5232
(904) 203-4700
(844) 329-0848
Mailing address
13241 BARTRAM PARK BLVD UNIT 117, JACKSONVILLE, FL 32258-5232
(904) 203-4700
(844) 329-0848
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
307164
LA
2084P0800X
Psychiatry Physician
ME141234
FL
2084P0804X
Child & Adolescent Psychiatry Physician
307164
LA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME141234
FL
Other
Enumeration date
03/25/2014
Last updated
05/12/2026
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