Individual
MRS. MARISSA ALAUNA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 RICHLAND MEDICAL PARK DR STE 215, COLUMBIA, SC 29203-6863
(803) 434-3533
(803) 434-3094
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
31266
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2025
Last updated
07/22/2026
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