Provider Demographics
NPI:1316275068
Name:MCCOY, WENDY SCHMUNK (NP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SCHMUNK
Last Name:MCCOY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:ANNE
Other - Last Name:SCHMUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:679 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-5815
Mailing Address - Country:US
Mailing Address - Phone:336-655-9812
Mailing Address - Fax:
Practice Address - Street 1:218 FOUST ST STE B
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5476
Practice Address - Country:US
Practice Address - Phone:336-626-2793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4043364SP0200X
NC5016477364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics