WENDY LYNN BROCK NNP
NPI 1003351206
Nurse Practitioner in Fayetteville, NC

Q: What is Wendy Brock's NPI number?

The NPI number for Wendy Brock is 1003351206. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Q: What is Wendy Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Brock was last updated on December 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2016

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-5490 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wendy Lynn Brock Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY LYNN BROCK NNP (NPI 1003351206) is an individual nurse practitioner in Fayetteville, North Carolina, licensed in North Carolina (114762) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1003351206

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameWENDY LYNN BROCKCredential: NNP

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing AddressPo Box 40908Fayetteville, NC 28309-0908

Phone(910) 615-5490

Sole ProprietorNo

Enumeration DateDecember 23, 2016

✔ NPI 1003351206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 114762

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1638 OWEN DR, Fayetteville, NC 28304

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MCPHAIL COAXUM NP

Nurse Practitioner (Family)