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

Mr. Daniel Ray Licon Jr., NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1275398372

Mr. Daniel Ray Licon Jr., NURSEPRACTITIONER is a Nurse Practitioner in Chico, California. Qualified in 2024, 2 years ago. Practices with Enloe Medical Center, a 331-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

185 E 7th Ave
Chico, CA 95926-3356
Phone: (530) 332-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95030499 (CA)

Record details

NPI number1275398372
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 19, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Enloe Medical Center — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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