MISS JACQUELENE FARRAH MOGHADDAM M.ED NPI 1063663045

NPI Information

  • NPI: 1063663045
  • Provider Name: MISS JACQUELENE FARRAH MOGHADDAM, M.ED
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 815 LAWRENCE ST
    APARTMENT 3
    ANN ARBOR, MI
    ZIP 48104
  • Phone: (714) 872-1947

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NPI Details

MISS Jacquelene Farrah Moghaddam, M.ED is a student in an organized health care education training program in Ann Arbor, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MISS Jacquelene Farrah Moghaddam, M.ED NPI is 1063663045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

815 LAWRENCE ST
APARTMENT 3
ANN ARBOR, MI
ZIP 48104-812
Phone: (714) 872-1947

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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