Organization
NORTH TEXAS NUTRITION & WELLNESS
Active
Parent organization
KACYE M VANN NURSE PRACTITIONER
Organization subpart
Yes
Provider details
NPI number
Legal business name
KACYE M VANN NURSE PRACTITIONER
Authorized official
KACYE MICHELLE VANN FNP-C (OWNER/PROVIDER)
(940) 736-5317
Entity
Organization
Contact information
Practice address
903 E BROADWAY ST, GAINESVILLE, TX 76240-4235
(940) 336-4584
Mailing address
PO BOX 308, VALLEY VIEW, TX 76272-0308
(940) 736-5317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689279374
COMMERCIAL INSURANCE
—
05
—
1689279374
—
TX
Enumeration date
01/09/2025
Last updated
06/25/2025
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