Individual provider · Type 1 NPI

Wallace Jerome Devries Jr., FNP-C

Family Nurse Practitioner · Tampa, FL

NPI number 1295204329 Active

Practice location

9009 Corporate Lake Dr
Tampa, FL 33634-2367

Mailing address

118 E Cowpen Lake Point Rd
Hawthorne, FL 32640-5702

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11000148 (FL)

Family Nurse Practitioner: Definition to come...

28 other providers at this address

Other family nurse practitioner providers in Tampa

See all in Tampa →

About NPI 1295204329

Wallace Jerome Devries Jr., FNP-C's National Provider Identifier is 1295204329, issued on Nov 19, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tampa, FL. The record was last updated on Nov 19, 2018.