Individual
STACIA KAYLEE HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PNP-PC
Contact information
Practice address
601 E 13TH ST, GROVE, OK 74344-2989
(918) 786-9009
(918) 786-3724
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(918) 786-9009
(918) 786-3724
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
222271
OK
Other
Enumeration date
03/04/2025
Last updated
06/18/2025
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