About Family 1st Care

Brenda Anderle has been practicing as a physician assistant for 3 decades. She is certified by the National Commission on Certification of Physician Assistants. She graduated from the University of Texas Southwestern Medical Center in 1990. She has spent the majority of her time practicing in our local community. She previously worked for Wilson N. Jones in the Emergency Department and North Texas Medical Center seeing patients in the hospital, as well as in the outpatient clinic. She most recently worked at Absolute Urgent Care. She currently resides North of Gainesville. In her spare time, she enjoys raising Red Angus cattle.

Jill Fuhrmann is certified by the American Academy of Nurse Practitioners as a Family Nurse Practitioner. She has been practicing for nearly a decade. She attended Cooke County College to obtain her Associate's degree in Nursing, then attended University of Texas at Arlington to obtain her Bachelor's in Nursing. She attended Texas Women's University to obtain her Master's of Science in Nursing. She previously worked at Cooke County Medical Clinic and Absolute Urgent Care. Prior to becoming a Family Nurse Practitioner, Jill worked at North Texas Medical Center for 22 years in a variety of areas including director of the operating room. She currently resides in Gainesville with her family. In her spare time, she enjoys spending time with her grandchildren. 

Rachel Bowles is certified by the American Academy of Nurse Practitioners as a Family Nurse Practitioner. She obtained her Bachelor of Science in Nursing from Baylor University and continued on to complete her Master of Science in Nursing Education and the post-Master's nurse practitioner program from the University of Texas at Tyler. She previously worked for Texas Health Denton in the Emergency Department for 5 years. She has served locally as a healthcare provider for the past 5 years, most recently being at Absolute Urgent Care. Being a Cooke County native, she loves being able to serve the community in which she was born and raised. Rachel currently resides in Gainesville with her husband and 3 boys. In her spare time, she enjoys running and helping her husband on their cattle ranch.

Kacye Vann is certified by the American Academy of Nurse Practitioners as a Family Nurse Practitioner and is a member of the Obesity Medicine Association.  She attended Lone Star College in Houston to obtain her Associate's degree in Nursing.  She attended the University of Texas at Arlington to obtain both her Bachelor's and Master's degrees of Science in Nursing.  Kacye worked at Kindred Hospital in Houston, as well as NTMC in Gainesville. She was most recently at Woodlands Medical in Gainesville and Denton.  She has a passion for weight management, chronic disease prevention and diabetes care. A native of Gainesville, Kacye grew up sharing birthdays with her triplet brother and sister.  Kacye resides in Valley View with her husband and children.  In her spare time, she enjoys spending time with her family and cooking.

Sara Dieter is certified by the American Academy of Nurse Practitioners as a Family Nurse Practitioner. She obtained her Bachelor of Science in Nursing from Midwestern State University and Master's of Science in Nursing from Texas Women’s University. Her previous nursing experience includes adult critical care, pediatric critical care, and neonatal critical care at Children’s Health Dallas and Texoma Medical Center. Sara currently resides in Gainesville with her husband and two young children. Her passion is pediatric medicine and she is excited to serve the families of the community where she lives. In her spare time, she enjoys spending time outdoors camping, hiking and boating.