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

Marissa Nugent, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861021487

Marissa Nugent, MD is a Student in an Organized Health Care Education/Training Program in Urbana, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-3313
Fax: (217) 383-4014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Rainbow Blvd, Kansas City, KS 66160-8500 — (913) 588-1559

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036165667 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861021487
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 28, 2024
Mailing address611 W. Park St, Fapc, Urbana, IL 61801

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