Individual
JESSICA LYN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2386
(231) 935-5000
Mailing address
PO BOX 64, BUCKLEY, MI 49620-0064
(231) 263-7725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704286571
MI
363LF0000X
Family Nurse Practitioner
Primary
4704286571
MI
Other
Enumeration date
01/07/2021
Last updated
02/24/2021
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