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Contact Information

JACQULYN RICHARDSON
1200 N TELEGRAPH RD
PONTIAC, MI48341-1032
 Phone: 248-456-8150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JACQULYN RICHARDSON · (Female)

NPI # 1285092445
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2016
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704297693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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