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SANDRA LYNNE MALLISHAM FPMHNP-BC
NPI 1053683102
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since February 06, 2012
2040 BABCOCK RD, SUITE 403, SAN ANTONIO, TX 78229(210) 858-9980(210) 858-9990 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Lynne Mallisham Fpmhnp-bc NPPES

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

SANDRA LYNNE MALLISHAM FPMHNP-BC (NPI 1053683102) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (700915) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1053683102
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA LYNNE MALLISHAMCredential: FPMHNP-BC
Location Address2040 BABCOCK RD, SUITE 403San Antonio, TX 78229-4425
Mailing Address2040 Babcock Rd, Suite 403San Antonio, TX 78229-4425 · (210) 858-9980 · Fax (210) 858-9990
Phone(210) 858-9980
Fax(210) 858-9990
Sole ProprietorNo
Enumeration DateFebruary 6, 2012
✔ NPI 1053683102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 700915
2040 BABCOCK RD, San Antonio, TX 78229
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALASI'S HOUSE,LLC
In Home Supportive Care
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 568-7344
SARA WALKER
Licensed Vocational Nurse
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 731-9570
THE CONCUSSION CENTER LLC
Physical Medicine & Rehabilitation
2040 BABCOCK RD, STE 101
SAN ANTONIO, TX 78229
Bexar County (210) 692-7070
DALASI BUNCHIE OWUSU
Personal Emergency Response Attendant
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 568-7344
MEDICAL CENTER PHYSICAL THERAPY, INC.
Physical Therapist
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 692-7070
BRENDA MENDOZA
Licensed Vocational Nurse
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 731-9570
SADE REYES
Licensed Vocational Nurse
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 731-9570
MS. FELICIA DESIREE PAYTON LVN
Licensed Vocational Nurse
2040 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 731-9570

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 Sandra Mallisham's NPI number?

The NPI number for Sandra Mallisham is 1053683102. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Sandra Mallisham located?

Sandra Mallisham practices at 2040 Babcock Rd Suite 403, San Antonio, TX 78229. The listed phone number is (210) 858-9980.

What is Sandra Mallisham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sandra Mallisham was last updated on February 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.