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Contact Information

JACOB APPLEGATE, PA
9320 PARK WEST BLVD
KNOXVILLE, TN37923-4301
 Phone: 865-373-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACOB APPLEGATE · (Male)

NPI Number 1891517249
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/28/2024
Last updated 03/06/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 6406
  • TN Medicaid Q099989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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