Individual
JACQULYN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 456-8150
Mailing address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 456-8150
(810) 744-1306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704297693
MI
363L00000X
Nurse Practitioner
4704297693
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704297693
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
4704297693
MI
Other
Enumeration date
02/03/2016
Last updated
02/16/2026
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