Individual provider · Type 1 NPI

Marissa Jo Roman, NP STUDENT

Student in an Organized Health Care Education/Training Program · Davenport, IA

NPI number 1851216980 Active

Practice location

5350 Eastern Ave
Davenport, IA 52807-2738

Call (563) 355-1853 Map

Mailing address

1418 40th St
Rock Island, IL 61201-3833

Other practice locations

  • 1227 E Rusholme St, Davenport, IA 52803-2459 · (563) 421-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X158455 (IA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14 other providers at this address

Other student in an organized health care education/training program providers in Davenport

See all in Davenport →

About NPI 1851216980

Marissa Jo Roman, NP STUDENT's National Provider Identifier is 1851216980, issued on Aug 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Davenport, IA. The record was last updated on Aug 10, 2026.