Nancy Medina is Artistic Director of Bristol Old Vic, taking the role in 2023. In October 2023 she directed her first production for the theatre, a revival of Tarell Alvin McCraney’s Choir Boy. The production won both Best Play and Best Director Awards at the British Black Theatre Awards in 2024 and it's been recently remounted, directed by Nancy, for Stratford East.

Her most recent productions for Bristol Old Vic’s 2025 season included new plays A Good House, in co-production with the Royal Court Theatre and Market Theatre (South Africa), and The Beautiful Future is Coming. Nancy's next production for Bristol Old Vic is Lanny based on the novel by Max Porter, adapted by Bea Roberts which opens in October 2026.

As a freelance director, Nancy's credits also include productions with Kiln Theatre, National Theatre and the Young Vic as well as work throughout the UK.

She is a recipient of 2024 Genesis Foundation Prize, 2020/2021 Peter Hall Bursary (National Theatre), 2018 RTST Sir Peter Hall Director Award (Royal & Derngate/English Touring Theatre), 2017 Genesis Future Director Award (Young Vic) and 2014 Emerging Director’s Prize (Tobacco Factory Theatres).

She was a visiting director at the Bristol Old Vic Theatre School and was joint Artistic Director and founder of the Bristol School of Acting.