Individual
IBRAHIMA T DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
97 NEWKIRK ST APT 228-229, JERSEY CITY, NJ 07306-3021
(888) 551-5456
(888) 305-9996
Mailing address
97 NEWKIRK ST APT 228-229, JERSEY CITY, NJ 07306-3021
(888) 551-5456
(888) 305-9996
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
727968-1
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ01390500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2025070922
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2018
Last updated
02/24/2026
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