Stacey Ann Timmons, PA-C Valid NPI
Individual provider · Physician Assistant · Edmond, OK
- NPI
- 1902143183
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 2187 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-01-08
- Last updated
- 2022-07-09
Practice location
2017 W I 35 Frontage Rd
Edmond, OK 73013-8504
(405) 509-2800