Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Daniel Richardson

Individual provider Physician Assistant · NPI 1770464620

Jacob Daniel Richardson is a Physician Assistant in Grand Ledge, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

835 Arcadian Dr Apt 55
Grand Ledge, MI 48837-8772
Phone: (517) 930-6832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770464620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address835 Arcadian Dr Apt 55, Grand Ledge, MI 48837-8772

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