MRS. AMANDA JEVAHIRIAN NP NPI 1063185072

NPI Information

  • NPI: 1063185072
  • Provider Name: MRS. AMANDA JEVAHIRIAN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25650 OUTER DR
    LINCOLN PARK, MI
    ZIP 48146
  • Phone: (313) 383-1897

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NPI Details

MRS. Amanda Jevahirian, NP is a family nurse practitioner in Lincoln Park, MI. MRS. Amanda Jevahirian, NP NPI is 1063185072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25650 OUTER DR
LINCOLN PARK, MI
ZIP 48146-096
Phone: (313) 383-1897
Fax: (313) 383-6018

The NPI 1063185072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2021 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704300662NSA210LVMICHIGANNo
2363LF0000XNurse PractitionerFamily4704300662MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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