Individual provider Active NPI

Jane Sulla, FNP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1205062049
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270879 Issued in MI
Practice address
29201 Telegraph Rd Ste 200a
Southfield, MI 48034-7645
Phone
(248) 796-7486
Fax
(248) 714-4809
NPI assigned
Jun 8, 2009
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704270879 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 200a
Southfield, MI 48034-7645

Mailing address

1845 Midchester Dr
West Bloomfield, MI 48324-1138
Phone (248) 722-4644

Other practice location 1

1845 Midchester Dr
West Bloomfield, MI 48324-1138
Phone (248) 722-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704270879MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healox Health PLLC Current Accepting new patients

Locations

29201 Telegraph Rd
Ste 200A
Southfield, MI 48034
Phone (248) 419-3474

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205062049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 MIDCHESTER DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241138",
            "telephone_number": "248-722-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 200A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347645",
            "telephone_number": "248-796-7486",
            "fax_number": "248-714-4809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Midchester Dr",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483241138",
            "country_code": "US",
            "telephone_number": "248-722-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLA",
        "first_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.