Jalloh, Isata

Jalloh, Isata is an sole proprietor health care provider with primary practice located at 11110 Medical Campus Rd Ste 225 , Hagerstown MD 21742-6727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jalloh, Isata can be contacted via phone (301) 665-4721.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 225 Hagerstown MD 21742-6727
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R221446 Maryland

Profile Details

NPI number 1912543893
LBN Legal business name Jalloh, Isata
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2019
Last updated Apr 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912543893 NPPES
Maryland MEDICAID NPI

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