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

Marissa Davidson

Individual provider Nurse Practitioner · NPI 1760223218

Marissa Davidson is a Nurse Practitioner in Columbia, Maryland. Qualified in 2024, 2 years ago. Practices with Maryland Oncology Hematology PA, a 101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

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

10710 Charter Dr Ste G020
Columbia, MD 21044-3257
Phone: (410) 964-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R240305 (MD)

Record details

NPI number1760223218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address10710 Charter Dr Ste G020, Columbia, MD 21044-3257

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 Maryland Oncology Hematology Pa — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Columbia