Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Stacy Danielle Provence

Pediatric Nurse Practitioner in Bethany, OK · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912376765

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Registry record

Entity type Individual (Type 1)

Name Stacy Danielle Provence

Sex Female

Practice address 6800 Nw 39th Expy, Bethany, OK, 73008

Phone (405) 789-6711

Fax (405) 440-6716

Enumeration date Sep 23, 2015

Last updated in NPPES Nov 14, 2019

Taxonomy & licenses

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0089753 (OK) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Stacy Provence practice?

The practice location on file with NPPES is in Bethany, OK. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Stacy Provence?

The National Provider Identifier (NPI) for Stacy Provence is 1912376765, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-14.