Jacqueline Richardson, CNM, DNP is a
Advanced Practice Midwife based in Troy, Michigan. Jacqueline Richardson is licensed to practice in Michigan (license number 4704314070) and her current practice location is
44201 Dequindre Rd, Troy, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 964-5000.
NPI number for Jacqueline Richardson is 1063191211 and her current mailing address is 26901 Beaumont Blvd # 3d, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063191211.
Provider's Profile
| Full Name | Jacqueline Richardson |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 44201 Dequindre Rd, Troy, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063191211
- Provider Enumeration Date: 07/14/2023
- Last Update Date: 11/01/2023
Medical Identifiers
Medical identifiers for Jacqueline Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063191211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | 4704314070 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline Richardson, CNM, DNP 26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849 Ph: (947) 522-4352 | Jacqueline Richardson, CNM, DNP 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-5000 |
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