IndividualActive
Jill Moughamian, NP
NPI 1760845259 · Pediatric Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1760845259
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NP-1708A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4700 N Cloverdale Rd Ste 103
Boise, ID 83713-1067
Phone: (208) 392-8383
Approximate (ZIP-level) locationGet directions
Mailing address
2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2016-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.