Provider Demographics
NPI:1134493018
Name:NORRIS, WENDY MCCREIGHT (NP)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MCCREIGHT
Last Name:NORRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:MCCREIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:100 BROOKSTONE CENTRE PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-2990
Mailing Address - Country:US
Mailing Address - Phone:706-653-0835
Mailing Address - Fax:706-653-8067
Practice Address - Street 1:420 20TH ST N STE 2200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3261
Practice Address - Country:US
Practice Address - Phone:866-949-0108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN236963363L00000X, 363LF0000X
AL1-097852363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner