Provider Demographics
NPI:1750327748
Name:POMEROY, WENDY C (NP)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:C
Last Name:POMEROY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1522 HIGHWAY 139
Mailing Address - Street 2:
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-5929
Mailing Address - Country:US
Mailing Address - Phone:865-397-6636
Mailing Address - Fax:865-774-0306
Practice Address - Street 1:312 PRINCE ST
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3823
Practice Address - Country:US
Practice Address - Phone:865-774-7684
Practice Address - Fax:865-774-0306
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000106153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily