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Organization

KACYE M VANN NURSE PRACTITIONER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KACYE M VANN FNP (NURSE PRACTITIONER / OWNER)
(940) 641-3440
Entity
Organization

Contact information

Practice address
903 E BROADWAY ST, GAINESVILLE, TX 76240-4235
(940) 336-4584
Mailing address
903 E BROADWAY ST, GAINESVILLE, TX 76240-4235
(940) 641-3440
(800) 979-3142

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
05/06/2021
Last updated
06/27/2025
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