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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598356198

Miranda Jesselle Moreno is a Student in an Organized Health Care Education/Training Program in Merced, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

301 E 13th St Ste D
Merced, CA 95341-6211
Phone: (209) 386-1096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 W Briggsmore Ave, Modesto, CA 95350-3839 — (209) 526-1476

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598356198
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229

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