Richardson, Jacqulyn

Richardson, Jacqulyn is an individual health care provider with primary practice located at 1200 N Telegraph Rd , Pontiac MI 48341-1032. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Richardson, Jacqulyn can be contacted via phone (248) 456-8150.

Contact Information

Primary practice address
1200 N Telegraph Rd Pontiac MI 48341-1032
Phone: (248) 456-8150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 4704297693 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704297693 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704297693 Michigan

Profile Details

NPI number 1285092445
LBN Legal business name Richardson, Jacqulyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2016
Last updated Feb 16th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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