Individual provider · Type 1 NPI

Jill Moughamian, NP

Pediatric Nurse Practitioner · Boise, ID

NPI number 1760845259 Active

Practice location

4700 N Cloverdale Rd Ste 103
Boise, ID 83713-1067

Call (208) 392-8383 Map

Mailing address

2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP-1708A (ID)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1760845259

Jill Moughamian, NP's National Provider Identifier is 1760845259, issued on Apr 1, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boise, ID. The record was last updated on Apr 1, 2016.