Provider Demographics
NPI:1972893899
Name:AMES, SHEENA RENEE (PA-C)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:RENEE
Last Name:AMES
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 MILFORD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6966
Mailing Address - Country:US
Mailing Address - Phone:410-749-1171
Mailing Address - Fax:833-634-1956
Practice Address - Street 1:106 MILFORD ST STE 103
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6966
Practice Address - Country:US
Practice Address - Phone:410-749-1171
Practice Address - Fax:833-634-1956
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
MDC0004458363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant