Stacy Danielle Provence
Stacy Danielle Provence is a Pediatric Nurse Practitioner in Bethany, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.
- Licensed in
- OK
- In the registry since
- 2015
Practice location Address checks out
6800 NW 39th ExpyBethany, OK 73008-2513
Phone: (405) 789-6711
Fax: (405) 440-6716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 0089753 (OK) |
|---|
Record details
| NPI number | 1912376765 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 23, 2015 |
| Last updated in NPPES | November 14, 2019 |
| Mailing address | 6800 Nw 39th Expy, Bethany, OK 73008-2513 |
Other providers in Bethany
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Ebony C Fortier, MSNAPRNFNP-C
6800 NW 39th Expy, Bethany, OK 73008-2513 · (405) 789-6711
-
Jason C Klein, CPNP, ARNP
6800 NW 39th Expy, Bethany, OK 73008-2513 · (405) 789-6711