SearchOklahomaPediatric Nurse Practitioner

Stacy Provence

NPI 1912376765 · on the registry since 2015

Practice

Address
6800 Nw 39th Expy
Bethany, OK 73008
Phone
(405) 789-6711
Fax
(405) 440-6716
Organisation at this address
Pharmcareok, Inc.
The Children'S Center
The Children'S Center
The Children'S Center, Inc.
The Children'S Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
173

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma