Ervin, Stacey D

Ervin, Stacey D is an individual health care provider with primary practice located at 3111 Mccann Rd , Longview TX 75605-7842. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ervin, Stacey D can be contacted via phone (903) 753-1212.

Contact Information

Primary practice address
3111 Mccann Rd Longview TX 75605-7842
Phone: (903) 753-1212
Fax: (214) 712-2487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP113426 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 630620 Texas

Profile Details

NPI number 1487697538
LBN Legal business name Ervin, Stacey D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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