Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanny M Jaquez, MD

Individual provider Neurology Physician · NPI 1740212208

Fanny M Jaquez, MD is a Neurology in Sioux Falls, South Dakota. Qualified in 1985, 41 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
41
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1210 W 18th St Ste 100
Sioux Falls, SD 57104
Phone: (605) 312-8500
Fax: (605) 312-8501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 — (770) 897-7043

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 054903 (GA)

Record details

NPI number1740212208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Tanner Medical Group Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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