Individual provider · Type 1 NPI

Jacob Daniel Richardson, PA-C

Physician Assistant · East Lansing, MI

NPI number 1770464620 Active

Practice location

4660 S Hagadorn Rd Ste 420
East Lansing, MI 48823-5353

Call (517) 884-6100 Map

Fax (517) 884-6233

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601014329 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770464620

Jacob Daniel Richardson, PA-C's National Provider Identifier is 1770464620, issued on Sep 9, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Lansing, MI. The record was last updated on Oct 28, 2026.