Stacy Danielle Provence
Nurse Practitioner - Pediatrics
6800 Nw 39th Expy, Bethany
Oklahoma, 73008-2513
405-789-6711
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.
| Name: | Stacy Danielle Provence |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Practice Address: | 6800 Nw 39th Expy, Bethany,
Oklahoma, 73008-2513 |
| Phone: | 405-789-6711 |
| Fax: | 405-440-6716 |
Professional Identification Codes:
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.
| Address: | Stacy Danielle Provence
6800 Nw 39th Expy,
Bethany, Oklahoma |
| Zip: | 73008-2513 |
| Phone Number: | 405-789-6711 |
| Fax Number: | 405-440-6716 |
Patients can reach Stacy Danielle Provence at
6800 Nw 39th Expy, Bethany, Oklahoma or can
call to book an appointment on 405-789-6711.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.