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NPI Code Detail

MEDICARE: JOHN VANDAGRIFF

MEDICARE: JOHN VANDAGRIFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse272086TN

General Provider Information

NPI Number : 1831062298
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN VANDAGRIFF
Provider Business Mailing Address
First Line : 315 HOSPITAL DR
Second Line :
City : MADISON
State : TN
Zip : 37115-5030
Country : US
Telephone Number : 615-732-7662
Fax Number :
Provider Business Practice Location Address
First Line : 315 HOSPITAL DR
Second Line :
City : MADISON
State : TN
Zip : 37115-5030
Country : US
Telephone Number : 615-732-7662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 01/05/2026

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Directions to “ JOHN VANDAGRIFF ” Practice Location

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