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

Jessica Marie Sanford, FNP

Individual provider General Practice Physician · NPI 1295456184

Jessica Marie Sanford, FNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2022, 4 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
4
Licensed in
IA
In the registry since
2022
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4055 Valley View Ln
Dallas, TX 75244-5074
Phone: (855) 984-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A170959 (IA)
General Practice Physician Taxonomy 208D00000X · Licence A170959 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A170959 (IA)

Record details

NPI number1295456184
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Soderstrom Dermatology Center S C — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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