IndividualActive
Alieu Jallow
NPI 1497520480 · Psychiatric/Mental Health Nurse Practitioner · Waterford, MI
Provider details
- NPI number
- 1497520480
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704285372 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1408 Mill Pond Dr
Waterford, MI 48327-3088
Phone: (248) 767-3405
Approximate (ZIP-level) locationGet directions
Mailing address
1408 Mill Pond Dr
Waterford, MI 48327-3088
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2023-11-21
- Certified
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.