Individual provider · Type 1 NPI

Jesse E. Von Fange, PA-C

Medical Physician Assistant · Knoxville, TN

NPI number 1265996672 Active

Practice location

280 Fort Sanders West Blvd Ste 101
Knoxville, TN 37922-3352

Call (865) 539-0270 Map

Fax (865) 539-6998

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3804 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1265996672

Jesse E. Von Fange, PA-C's National Provider Identifier is 1265996672, issued on Jan 30, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Mar 4, 2020.