Individual provider · Type 1 NPI
Kiabeh Jallah
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1124919592
Active
Practice location
1045 James St
Syracuse, NY 13203-2730
Fax (315) 999-1377
Other practice locations
- 283 W 2nd St # 200, Oswego, NY 13126-3812 · (315) 450-8594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 407077 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124919592
Kiabeh Jallah's National Provider Identifier is 1124919592, issued on Jul 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Sep 14, 2026.