NPI age
10 years
Enumerated 2016-04-01
● Active
Type 1 · Individual
Jill Moughamian, NP
Moughamian is 1 of 23 nurse practitioner providers in Boise and 1 of 58 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-04-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 58 active nurse practitioner providers in Idaho.
NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Practice location
4700 N Cloverdale Rd Ste 103
Boise, ID 837131067
Mailing address
2965 E Tarpon Dr Ste 150
Meridian, ID 836429007
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP-1708A | STATE LICENSE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Boise in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.