Individual
MRS. JULIE FOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
Mailing address
304 STONECREST LOOP, CROSSVILLE, TN 38571-8234
(256) 601-9032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045998
—
TN
Enumeration date
07/25/2018
Last updated
06/07/2021
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