Jacqulyn Richardson
Jacqulyn Richardson is a Nurse Practitioner in Pontiac, Michigan. Qualified in 2021, 5 years ago. Practices with Alternative Community Living Inc, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 5
- Licensed in
- MI
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
1200 N Telegraph RdPontiac, MI 48341-1032
Phone: (248) 456-8150
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 — (616) 301-8000
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 4704297693 (MI) |
|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | Taxonomy 364SP0809X · Licence 4704297693 (MI) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 4704297693 (MI) |
Record details
| NPI number | 1285092445 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 3, 2016 |
| Last updated in NPPES | February 16, 2026 |
| Certification date | February 16, 2026 |
| Mailing address | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Alternative Community Living Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Pontiac
-
Jessica Ashely Hong, PMHNP
44405 Woodward Ave, Pontiac, MI 48341-5023 · (248) 858-3000