| Isata Jalloh, | |
|
550 Isabel Dr, Lebanon, PA 17042-7224 | |
| (717) 675-1953 | |
| Not Available |
| Full Name | Isata Jalloh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 550 Isabel Dr, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831922400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 2024057888 (Pennsylvania) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | SP030470 (Pennsylvania) | Primary |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Isata Jalloh, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Isata Jalloh, 550 Isabel Dr, Lebanon, PA 17042-7224 Ph: (717) 675-1953 |
Mrs. Alina N Glazunova, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Mr. Neil Baksh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Norman Dr, Lebanon, PA 17042 Phone: 717-274-5500 | |
Andrea Bachman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 844 Tuck St, Lebanon, PA 17042 Phone: 717-639-3150 | |
Maria Michelle Druckman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
Mrs. Kaley Elizabeth Barrett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Kathy Zubik, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Ash Ln, Lebanon, PA 17042 Phone: 717-304-1779 | |
Jennifer Anne Noggle, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754 |