MS. ELIZABETH KORTU JALLAH NPI 1306615885

NPI Information

  • NPI: 1306615885
  • Provider Name: MS. ELIZABETH KORTU JALLAH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 783 EDENBERRY LN
    LITHONIA, GA
    ZIP 30058
  • Phone: (678) 778-4434

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NPI Details

MS. Elizabeth Kortu Jallah is a psychiatric/mental health nurse practitioner in Lithonia, GA. MS. Elizabeth Kortu Jallah NPI is 1306615885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

783 EDENBERRY LN
LITHONIA, GA
ZIP 30058-942
Phone: (678) 778-4434

The enumeration date for this NPI number is 12/27/2023 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN203894GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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