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MISS JACQUELENE FARRAH MOGHADDAM M.ED
NPI 1063663045
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since October 08, 2008
815 LAWRENCE ST, APARTMENT 3, ANN ARBOR, MI 48104(714) 872-1947 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Jacquelene Farrah Moghaddam M.ed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JACQUELENE FARRAH MOGHADDAM M.ED (NPI 1063663045) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1063663045
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS JACQUELENE FARRAH MOGHADDAMCredential: M.ED
Location Address815 LAWRENCE ST, APARTMENT 3Ann Arbor, MI 48104-8812
Mailing Address815 Lawrence St, Apartment 3Ann Arbor, MI 48104-8812 · (714) 872-1947
Phone(714) 872-1947
Sole ProprietorYes
Enumeration DateOctober 8, 2008
✔ NPI 1063663045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
815 LAWRENCE ST, Ann Arbor, MI 48104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelene Moghaddam's NPI number?

The NPI number for Jacquelene Moghaddam is 1063663045. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Jacquelene Moghaddam located?

Jacquelene Moghaddam practices at 815 Lawrence St Apartment 3, Ann Arbor, MI 48104. The listed phone number is (714) 872-1947.

What is Jacquelene Moghaddam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacquelene Moghaddam was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.