Active NPI
Jestina Sayon Jalloh-Jamboria, CRNP
- Family Nurse Practitioner
- Upper Marlboro, MD
National Provider Identifier
1326597220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R203541
- Practice address
- 10400 Brookhaven LN
Upper Marlboro, MD 20772-6658 - Phone
- (301) 573-0741
- NPI assigned
- Oct 3, 2016
- Last updated
- Oct 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R203541 | MD | Primary |
Addresses
Primary practice location
10400 Brookhaven LN
Upper Marlboro, MD 20772-6658
Mailing address
10400 Brookhaven LN
Upper Marlboro, MD 20772-6658
Phone (301) 573-0741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R203541 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom Nursing Care LLC | Current | Accepting new patients | |
| Shalom Nursing Care Inc | Family | Current | Accepting new patients |
| Shalom Therapy Services LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1710644240
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1326597220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 BROOKHAVEN LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726658",
"telephone_number": "301-573-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 BROOKHAVEN LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726658",
"telephone_number": "301-573-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALLOH-JAMBORIA",
"first_name": "JESTINA",
"middle_name": "SAYON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R203541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.