Individual provider · Type 1 NPI

Krishna Jakkula, NP-C

Primary Care Nurse Practitioner · Detroit, MI

NPI number 1558719906 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Fax (248) 919-0791

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X4704268080 (MI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X4704268080 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1558719906

Krishna Jakkula, NP-C's National Provider Identifier is 1558719906, issued on May 26, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on May 7, 2026.