Most Relevant Information
Provider Data
| NPI Number: | 1003514894 |
| Provider Name: | JACOB EDWARD FILIPPONE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2023 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
7565 DANNAHER DR
POWELL
TN
378494029
Practice Location Phone/Fax
| Phone: | 8658598000 |
| Fax: |
Provider Mailing Location
110 GUTHRIE RD
ATHENS
TN
373031691
Provider Mailing Phone/Fax
| Phone: | 8652014483 |
| Fax: |