Individual
WENDY FUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1433
(912) 871-2261
Mailing address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1433
(912) 871-2261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN215942
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN215942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015012072
ANCC
GA
01
—
RN215942
RN LICENSE
GA
Enumeration date
08/12/2015
Last updated
11/04/2025
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