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JESSICA FANTY LMSW
NPI 1639965833
General Practice in Jbsa Lackland, TX

Active since April 16, 2025
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236(210) 292-5972 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Fanty Lmsw NPPES

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

JESSICA FANTY LMSW (NPI 1639965833) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Texas (113785) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1639965833
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameJESSICA FANTYCredential: LMSW
Location Address1100 WILFORD HALL LOOP BLDG 455459Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 455459Jbsa Lackland, TX 78236-5638 · (210) 292-5972
Phone(210) 292-5972
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1639965833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · 113785
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1100 WILFORD HALL LOOP BLDG 455459, Jbsa Lackland, TX 78236
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Other Providers at the Same Location NPPES 15

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

ADAM JOSEPH JADICK LCSW
General Practice
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
ISMAEL PEREZ
Military Health Care Provider
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
AMANDA NICOLE NEPHEW
Military Health Care Provider
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
ASHTON DESSERT
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
SAN ANTONIO, TX 78236
Bexar County (210) 292-5188
THEODORE CHUNG MD
Internal Medicine (Cardiovascular Disease)
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 266-5609
JUDE EMEGO DO
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MARIE BLACK
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
MONISHA FAHIM MALEK MD
Pediatrics
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9928

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 Jessica Fanty's NPI number?

The NPI number for Jessica Fanty is 1639965833. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Jessica Fanty located?

Jessica Fanty practices at 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-5972.

What is Jessica Fanty's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jessica Fanty was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.