Stacy Provence

Individual Active
NPI 1912376765
Pediatric Nurse Practitioner Bethany, OK

NPI 1912376765 belongs to Stacy Provence, a pediatric nurse practitioner with a practice location in Bethany, OK. The NPI was issued on September 23, 2015, and the record was last updated in NPPES on November 14, 2019.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 0089753 (OK)

Practice location

6800 NW 39th Expy
Bethany, OK 73008-2513
Phone: (405) 789-6711

Local context

Active NPPES records list 80 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 53 of them within 10 miles.

The same primary taxonomy is listed by 191 in Oklahoma and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Stacy Danielle Provence
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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