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Sandra Lynne Mallisham, FPMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in San Antonio, Texas
NPI 1053683102

Sandra Lynne Mallisham is a Psychiatric/Mental Health Nurse Practitioner based in San Antonio, TX and is specialized in Psychiatric/Mental Health. Sandra Lynne Mallisham practices in San Antonio, TX and has the professional credentials of FPMHNP-BC. The NPI Number for Sandra Lynne Mallisham is 1053683102 and holds a License No. 700915 (Texas).

The current practice location address for Sandra Lynne Mallisham is 2040 Babcock Rd, San Antonio, TX and can be reached out via phone at 210-858-9980 and via fax at 210-858-9990.

Location: 2040 Babcock Rd, San Antonio, TX, 78229-4425
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Provider Profile Details
NPI Number
1053683102
Provider Name
Sandra Lynne Mallisham
Credential
FPMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2040 Babcock Rd, San Antonio, TX, 78229-4425
Phone Number
210-858-9980
Fax Number
210-858-9990
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2040 Babcock Rd
City
State
Zip
78229-4425
Phone Number
210-858-9980
Fax Number
210-858-9990
person
Provider Business Mailing Address Details
Address
2040 Babcock Rd
City
State
Zip
78229-4425
Phone Number
210-858-9980
Fax Number
210-858-9990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
700915 (Texas)
Definition
Definition to come...
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