DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FANNY M JAQUEZ, MD

Active

Neurology · SIOUX FALLS, SD

Registration Details

NPI Number
1740212208
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2006 (19.820635571314 yrs)
Last Updated
Mar 25, 2022
License
054903 (GA)

Practice Information

Address
1210 W 18TH ST
STE 100
SIOUX FALLS, SD, 57104
Browse SD providers · Browse ZIP 57104
Phone
6053128500
Fax
6053128501
Primary Specialty
Neurology
2084N0400X

Other Neurology Providers in SIOUX FALLS, SD

Name Credential NPI
JORGE D SANCHEZ MD 1295701506
DR. STEVEN CRAIG JULIUS M.D. 1891757258
BONNIE L BUNCH MD 1265485312
JEROME W FREEMAN MD 1609899665
WARREN O OPHEIM MD 1396751525
TODD A ZIMPRICH MD 1861408676
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.