Individual provider · Type 1 NPI
Jessica Susel Mariscal Raya, FNP-C
Family Nurse Practitioner · Modesto, CA
NPI number
1831089283
Active
Practice location
1524 Mchenry Ave Ste 1301524
Modesto, CA 95350-4500
Mailing address
835 N Hart Rd
Modesto, CA 95358-8434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95034182 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831089283
Jessica Susel Mariscal Raya, FNP-C's National Provider Identifier is 1831089283, issued on Jul 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2025.