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

Sandra Lynne Mallisham, FPMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053683102

Sandra Lynne Mallisham, FPMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

2040 Babcock Rd Ste 403
San Antonio, TX 78229-4425
Phone: (210) 858-9980
Fax: (210) 858-9990
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 700915 (TX)

Record details

NPI number1053683102
Entity typeIndividual (Type 1)
GenderFemale
Credentials FPMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 6, 2012
Last updated in NPPESFebruary 6, 2012

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