Jesse Von Fange, PA-C

NPI 1265996672 · on the registry since 2019

Practice

Address: 280 Fort Sanders West Blvd Ste 101
Knoxville, TN 37922
Phone: (865) 539-0270
Fax: (865) 539-6998
Organisation at this address: Cda - Fort Sanders West
Summit Medical Group, Pllc
Living Life Dentistry, Pllc
Trinity Medical Associates, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee