Richardson, Jacqueline

Richardson, Jacqueline is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Richardson, Jacqueline can be contacted via phone (248) 964-5000.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704314070 Michigan

Profile Details

NPI number 1063191211
LBN Legal business name Richardson, Jacqueline
Credentials CNM, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2023
Last updated Nov 1st, 2023 - about 2 years 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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