Provider Demographics
NPI:1962281469
Name:TATE, DALYN D (PA)
Entity type:Individual
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First Name:DALYN
Middle Name:D
Last Name:TATE
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Gender:
Credentials:PA
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Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:7211 WELLINGTON DR STE 201
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5968
Practice Address - Country:US
Practice Address - Phone:865-584-5762
Practice Address - Fax:833-908-2098
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2025-04-28
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Provider Licenses
StateLicense IDTaxonomies
TN5733363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical