Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Amanda Jevahirian, NP

Individual provider Family Nurse Practitioner · NPI 1063185072

Mrs. Amanda Jevahirian, NP is a Nurse Practitioner in Lincoln Park, Michigan. Qualified in 2021, 5 years ago. Practices with Promed Preferred Mi 3, PLLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

25650 Outer Dr
Lincoln Park, MI 48146-2096
Phone: (313) 383-1897
Fax: (313) 383-6018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4700 Schaefer Rd Ste 255, Dearborn, MI 48126-3655 — (313) 561-5100
  • 2700 Hamlin Blvd, Inkster, MI 48141-2206 — (313) 383-1897
  • 26650 Eureka Rd Ste C, Taylor, MI 48180-4835 — (734) 941-4991

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704300662 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704300662NSA210LV (MI)

Record details

NPI number1063185072
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 26, 2021
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Promed Preferred Mi 3, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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