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NPI Code Detail

MEDICARE: ISATA JALLOH

MEDICARE:   ISATA  JALLOH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerSP030470PA

General Provider Information

NPI Number : 1831922400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISATA JALLOH
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 228 SAINT CHARLES WAY STE 300
Second Line :
City : YORK
State : PA
Zip : 17402-4661
Country : US
Telephone Number : 717-812-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 04/15/2026

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Directions to “ ISATA JALLOH ” Practice Location

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