Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Moffitt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639953474

Jacquelyn Moffitt is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1301 Pine Ave
Long Beach, CA 90813-3124
Phone: (562) 595-1159
Fax: (562) 486-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639953474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address1301 Pine Ave, Long Beach, CA 90813-3124

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