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

Jeremy Garnet Macnicol

Individual provider Peer Specialist · NPI 1063258416

Jeremy Garnet Macnicol is a Peer Specialist in Richmond, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

400 Stoddard Rd
Richmond, MI 48062-2505
Phone: (810) 392-2167
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1063258416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024
Mailing address8609 Rattle Run Rd, Columbus, MI 48063-1908

Other providers in Richmond