Individual provider · Type 1 NPI

Marissa Alauna Humphrey

Pediatric Nurse Practitioner · Columbia, SC

NPI number 1538053095 Active

Practice location

7 Richland Medical Park Dr Ste 215
Columbia, SC 29203-6863

Fax (803) 434-3094

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X31266 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1538053095

Marissa Alauna Humphrey's National Provider Identifier is 1538053095, issued on Jun 6, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, SC. The record was last updated on Jul 22, 2026.