Individual provider · Type 1 NPI

Jacob Fuqua, PA-C

Physician Assistant · Oak Ridge, TN

NPI number 1366335960 Active

Practice location

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832

Call (865) 375-8910 Map

Fax (865) 483-3807

Mailing address

PO Box 160909
Altamonte Springs, FL 32716-0909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6571 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366335960

Jacob Fuqua, PA-C's National Provider Identifier is 1366335960, issued on Jun 2, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oak Ridge, TN. The record was last updated on Oct 26, 2026.