Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISSA HENDRICK FNP-C
NPI 1053243055
Nurse Practitioner - Family in South Lyon, MI

Q: What is Marissa Hendrick's NPI number?

The NPI number for Marissa Hendrick is 1053243055. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Q: What is Marissa Hendrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Hendrick was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2026

23026 VALERIE ST, SOUTH LYON, MI 48178(248) 931-0686 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marissa Hendrick Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA HENDRICK FNP-C (NPI 1053243055) is an individual family provider in South Lyon, Michigan, licensed in Michigan (4704346080) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1053243055

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARISSA HENDRICKCredential: FNP-C

Location Address23026 VALERIE STSouth Lyon, MI 48178-1632

Mailing Address23026 Valerie StSouth Lyon, MI 48178-1632 · (248) 931-0686

Phone(248) 931-0686

Sole ProprietorNo

Enumeration DateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1053243055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704346080

23026 VALERIE ST, South Lyon, MI 48178

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Hendrick's NPI number?

The NPI number for Marissa Hendrick is 1053243055. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Marissa Hendrick located?

Marissa Hendrick practices at 23026 Valerie St, South Lyon, MI 48178. The listed phone number is (248) 931-0686.

What is Marissa Hendrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marissa Hendrick was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.