IndividualActive
Fanny Jaquez, MD
NPI 1740212208 · Neurology Physician · Sioux Falls, SD
Provider details
- NPI number
- 1740212208
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 054903 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1210 W 18th St
Ste 100
Sioux Falls, SD 57104
Phone: (605) 312-8500
Fax: (605) 312-8501
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Additional practice locations (1)
- 11 Upper Riverdale Rd SwRiverdale, GA 30274-2615Phone: (770) 897-7043
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.