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

Jacqulyn Richardson

Individual provider Adult Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1285092445

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 Rd
Pontiac, MI 48341-1032
Phone: (248) 456-8150
Show map & directions

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 number1285092445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Alternative Community Living Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Pontiac