Individual provider · Type 1 NPI

Jaime Sisam, CPNP-AC

Pediatric Nurse Practitioner · Memphis, TN

NPI number 1124614284 Active

Practice location

262 Danny Thomas Pl
Memphis, TN 38105-3678

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X28380 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1124614284

Jaime Sisam, CPNP-AC's National Provider Identifier is 1124614284, issued on Dec 14, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Memphis, TN. The record was last updated on Dec 14, 2020.