Provider Demographics
NPI:1306711130
Name:CHILDRESS, WENDY SHERWOOD (FNP-C)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:SHERWOOD
Last Name:CHILDRESS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W WOODLAWN DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-5491
Mailing Address - Country:US
Mailing Address - Phone:434-221-3301
Mailing Address - Fax:
Practice Address - Street 1:219 PARKER RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-4034
Practice Address - Country:US
Practice Address - Phone:434-791-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine