Individual
PHILICIA A RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 N. EAST AVE, JACKSON, MI 49201-1753
(517) 788-4730
(517) 788-4701
Mailing address
205 N. EAST AVE, JACKSON, MI 49201-1753
(517) 788-4730
(517) 788-4701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704270576
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704270576
MI
Other
Enumeration date
07/14/2015
Last updated
09/28/2023
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