Stacy D. Provence
Nurse Practitioner · Bethany, OK
UnclaimedNPI 1912376765
- Primary taxonomy
- 363LP0200X
- Enumerated
- 2015-09-23
- Practice location
- Bethany, OK
- Last NPPES update
- 2019-11-14
State licenses
- OK · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.