AMANDA SHREDERS DEVEREAUX MD
NPI 1891082582
Internal Medicine - Hematology & Oncology in Jacksonville, FL

Q: What is Amanda Devereaux's NPI number?

The NPI number for Amanda Devereaux is 1891082582. It was assigned to this individual provider in the NPPES registry on July 1, 2011. The provider is also known as Amanda Jean Shreders.

Q: What is Amanda Devereaux's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Devereaux was last updated on December 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2011

1301 PALM AVE, JACKSONVILLE, FL 32207(904) 202-7300(904) 202-7433 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2019, Dec 26, 2017 (2 updates tracked since 2017).

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About Amanda Shreders Devereaux Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SHREDERS DEVEREAUX MD (NPI 1891082582) is an individual hematology & oncology provider in Jacksonville, Florida, licensed in Florida (ME118926) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1891082582

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameAMANDA SHREDERS DEVEREAUXCredential: MD

Location Address1301 PALM AVEJacksonville, FL 32207-8432

Mailing AddressPo Box 45278Jacksonville, FL 32232-5278 · (904) 202-2092 · Fax (904) 393-7603

Phone(904) 202-7300

Fax(904) 202-7433

Sole ProprietorNo

Enumeration DateJuly 1, 2011

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1891082582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME118926

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1301 PALM AVE, Jacksonville, FL 32207

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Other Names 1

Former Name (1)Amanda Jean Shreders

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLYN MITCHELL MS

Genetic Counselor, MS