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

Marissa J Jordan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821790197

Marissa J Jordan is an Internal Medicine in Oakland, California. Graduated from Morehouse School of Medicine in 2023, 3 years ago. Registered with an NPI since 2023.

Years since qualifying
3
Trained at
Morehouse School of Medicine
In the registry since
2023
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Practice location Address checks out

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821790197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address275 W Macarthur Blvd, Oakland, CA 94611-5641

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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