STACY DANIELLE PROVENCE – Pediatric Nurse Practitioner, NPI 1912376765

Pediatric Nurse Practitioner

STACY DANIELLE PROVENCE is a healthcare provider. based in Bethany, Oklahoma. specializing in Pediatric Nurse Practitioner. They hold a License No. 0089753 (OK). The NPI Number for STACY DANIELLE PROVENCE is 1912376765

Main info

Female

Name

STACY DANIELLE PROVENCE

NPI

1912376765

Phone

(405) 789-6711

Address

6800 NW 39TH EXPY

Enumeration Date

23 September 2015

Last Update Date

14 November 2019

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for STACY DANIELLE PROVENCE

6800 NW 39TH EXPY
BETHANY, OK 730082513
Phone: (405) 789-6711
Fax: (405) 440-6716
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73008)

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Reviews

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Frequently asked questions

Can I cross-check STACY DANIELLE PROVENCE using NPI 1912376765?

NPI 1912376765 belongs to STACY DANIELLE PROVENCE; compare other details if you need extra assurance.

Would STACY DANIELLE PROVENCE appear as active to a payer?

You can treat STACY DANIELLE PROVENCE as active for directory purposes; confirm clinical privileges separately.

What kind of doctor is STACY DANIELLE PROVENCE?

STACY DANIELLE PROVENCE is associated with Pediatric Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.

Where in Oklahoma is STACY DANIELLE PROVENCE registered?

Use Bethany, Oklahoma as the headline location for STACY DANIELLE PROVENCE here.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.