Stacy Danielle Provence is a Bethany, Oklahoma based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Stacy Danielle Provence is 0089753 for Pediatrics in Oklahoma. Her current practice location is 6800 Nw 39th Expy, Bethany. Patients can reach her at 405-789-6711 or can fax her at 405-440-6716 with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1912376765. Stacy Danielle Provence specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Stacy Danielle Provence speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912376765
NPI Enumeration Date:
23 Sep, 2015
NPI Last Update On:
14 Nov, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Danielle Provence are as mentioned below.
License Number
Specialization
State
Status
0089753
Pediatrics
Oklahoma
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.