# NORTH TEXAS NUTRITION & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KACYE M VANN NURSE PRACTITIONER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083424295
- **Legal business name:** KACYE M VANN NURSE PRACTITIONER
- **Authorized official:** KACYE MICHELLE VANN FNP-C (OWNER/PROVIDER)
- **Authorized official phone:** (940) 736-5317

## Contact information

- **Practice address:** 903 E BROADWAY ST, GAINESVILLE, TX 76240-4235
- **Practice address phone:** (940) 336-4584
- **Mailing address:** PO BOX 308, VALLEY VIEW, TX 76272-0308
- **Mailing address phone:** (940) 736-5317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 06/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1689279374 | COMMERCIAL INSURANCE | — |
| 05 | — | 1689279374 | — | TX |