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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACIA KAYLEE HOMAN, APRN, PNP-PC

Active

STACIA KAYLEE HOMAN, APRN, PNP-PC is a Pediatric Nurse Practitioner healthcare provider located in GROVE, Oklahoma. NPI 1679371983 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · GROVE, OK

Registration Details

NPI Number
1679371983
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2025 (1.4746491291956 yrs)
Last Updated
Jun 18, 2025
License
222271 (OK)

Practice Information

Address
601 E 13TH ST
GROVE, OK, 743442989
Browse OK providers · Browse ZIP 74344
Phone
9187869009
Fax
9187863724
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in GROVE, OK

Name Credential NPI
MS. KELLY PATRICIA LONG APRN, CPNP 1447551817
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.