Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alieu Essa Jallow

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497520480

Alieu Essa Jallow is a Nurse Practitioner in Waterford, Michigan. Graduated from Wayne State University School of Medicine in 2023, 3 years ago. Practices with Detroit Medical Consultants PC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
3
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2023

Practice location Address checks out

1408 Mill Pond Dr
Waterford, MI 48327-3088
Phone: (248) 767-3405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704285372 (MI)

Record details

NPI number1497520480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address1408 Mill Pond Dr, Waterford, MI 48327-3088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Detroit Medical Consultants Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Waterford