Jaime Sisam, CPNP-AC

NPI #1124614284 in Memphis, Tennessee

Provider Information

NPI Number
1124614284
Entity Type
Individual
Name
Jaime Sisam, CPNP-AC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CPNP-AC
Enumeration Date
Dec 14, 2020
Last Updated
Dec 14, 2020

Practice Location

Address
262 DANNY THOMAS PL
ZIP Code
38105-3678
Phone
(530) 305-0709

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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