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
Phone: (301) 665-4721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912543893 | NPPES |
| Maryland | MEDICAID | NPI |
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