Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Stacey D Ervin, FNP

Individual provider Family Nurse Practitioner · NPI 1487697538

MS. Stacey D Ervin, FNP is a Nurse Practitioner in Longview, Texas. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3111 McCann Rd
Longview, TX 75605-7842
Phone: (903) 753-1212
Fax: (214) 712-2487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 630620 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP113426 (TX)

Record details

NPI number1487697538
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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