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

MS. Kiabeh Jallah

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124919592

MS. Kiabeh Jallah is a Nurse Practitioner in Oswego, New York. Graduated from State University of Ny Upstate Medical University in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
1
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2025

Practice location Address checks out

283 W 2nd St # 200
Oswego, NY 13126-3833
Phone: (315) 342-4489
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 407077 (NY)

Record details

NPI number1124919592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2025
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address283 W 2nd St, Oswego, NY 13126-3833

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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