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

Jaime Sisam, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1124614284

Jaime Sisam, CPNP-AC is a Pediatric Nurse Practitioner in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020

Practice location Address checks out

262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone: (530) 305-0709
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 28380 (TN)

Record details

NPI number1124614284
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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