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STACY DANIELLE PROVENCE
NPI 1912376765
Nurse Practitioner - Pediatrics in Bethany, OK

Active since September 23, 2015
6800 NW 39TH EXPY, BETHANY, OK 73008(405) 789-6711(405) 440-6716 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2019, Jan 27, 2016 (2 updates tracked since 2016).

About Stacy Danielle Provence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY DANIELLE PROVENCE (NPI 1912376765) is an individual pediatrics provider in Bethany, Oklahoma, licensed in Oklahoma (0089753) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1912376765
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACY DANIELLE PROVENCE
Location Address6800 NW 39TH EXPYBethany, OK 73008-2513
Mailing Address6800 Nw 39th ExpyBethany, OK 73008-2513 · (405) 789-6711 · Fax (405) 440-6716
Phone(405) 789-6711
Fax(405) 440-6716
Sole ProprietorNo
Enumeration DateSeptember 23, 2015
Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration
✔ NPI 1912376765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OK · 0089753
6800 NW 39TH EXPY, Bethany, OK 73008
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH LOPEZ CCC-SLP
Speech-Language Pathologist
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 440-9866
MATTHEW CADE BROSS PA-C
Physician Assistant
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 789-6711
KINSEY D HARPER LD
Dietitian, Registered
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 440-9866
PHARMCAREOK, INC.
Pharmacy (Community/Retail Pharmacy)
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 787-3939
KEVIN ROBERT JOHNSON MOT, OTR/L
Occupational Therapist
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 789-6711
DR. DARIN KENT BRANNAN M.D.
Pediatrics
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 440-9866
HEATHER JARVIS M.S., CCC-SLP
Speech-Language Pathologist
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 789-6711
ALYSSON BROWN
Physical Therapist
6800 NW 39TH EXPY
BETHANY, OK 73008
Oklahoma County (405) 789-6711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Provence's NPI number?

The NPI number for Stacy Provence is 1912376765. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Stacy Provence located?

Stacy Provence practices at 6800 NW 39th Expy, Bethany, OK 73008. The listed phone number is (405) 789-6711.

What is Stacy Provence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Stacy Provence accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Stacy Provence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Provence was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.