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

Isata Jalloh, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1912543893

Isata Jalloh, NURSEPRACTITIONER is a Nurse Practitioner in Hagerstown, Maryland. Qualified in 2019, 7 years ago. Practices with Ivy Medical Group PLLC, a 121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

11110 Medical Campus Rd Ste 225
Hagerstown, MD 21742-6727
Phone: (301) 665-4721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 235 Mill St, Hagerstown Md, 21740, Hagerstown, MD 21740-6668 — (732) 406-5080

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R221446 (MD)

Record details

NPI number1912543893
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 26, 2019
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ivy Medical Group Pllc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations22 on file with Medicare

Other providers in Hagerstown