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

Individual provider Clinic/Center · NPI 1992939052

Mrs. Severia Adolphus, NURSEPRACTITIONER is a Nurse Practitioner in Saint Clair Shores, Michigan. Graduated from Wayne State University School of Medicine in 2015, 11 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

31235 Harper Ave Ste 244
Saint Clair Shores, MI 48082-1425
Phone: (313) 334-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704170742 (MI)
Clinic/Center Taxonomy 261Q00000X
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence 4704170742 (MI)

Record details

NPI number1992939052
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 5, 2009
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Saint Clair Shores