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

Krishna Jakkula, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1558719906

Krishna Jakkula, NP-C is a Nurse Practitioner in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (248) 522-7848
Fax: (248) 919-0791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34290 Ford Rd, Westland, MI 48185-3051 — (313) 921-4700

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704268080 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704268080 (MI)

Record details

NPI number1558719906
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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