Individual
MR. GREGORY VANFOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
862 CALLEN LN NW, CLEVELAND, TN 37312-6995
(423) 331-5025
(833) 450-6211
Mailing address
3774 BLUE SPRINGS RD, CLEVELAND, TN 37311-8827
(786) 818-9004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21795
TN
363LF0000X
Family Nurse Practitioner
21795
TN
Other
Enumeration date
11/09/2006
Last updated
01/14/2026
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