WALLACE JEROME DEVRIES JR. FNP-C
NPI 1295204329
Nurse Practitioner - Family in Tampa, FL

Active since November 19, 2018
9009 CORPORATE LAKE DR, TAMPA, FL 33634(763) 361-8001 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wallace Jerome Devries Jr. Fnp-c NPPES

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

WALLACE JEROME DEVRIES JR. FNP-C (NPI 1295204329) is an individual family provider in Tampa, Florida, licensed in Florida (11000148) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1295204329
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWALLACE JEROME DEVRIES JR.Credential: FNP-C
Location Address9009 CORPORATE LAKE DRTampa, FL 33634-2367
Mailing Address118 E Cowpen Lake Point RdHawthorne, FL 32640-5702 · (435) 849-6896 · Fax (435) 579-4007
Sole ProprietorNo
Enumeration DateNovember 19, 2018
NPI 1295204329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11000148
9009 CORPORATE LAKE DR, Tampa, FL 33634

Other Identifiers 2

Other1912199415Group Npi
Other11000148FL · Aprn Licence Number

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.

Nurse Practitioner (Adult Health)
9009 CORPORATE LAKE DR, STE 200
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE 200
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR
TAMPA, FL 33634
Nurse Practitioner (Gerontology)
9009 CORPORATE LAKE DR
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE #200
TAMPA, FL 33634
Nurse Practitioner (Adult Health)
9009 CORPORATE LAKE DR
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE 200
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE 200
TAMPA, FL 33634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Devries's NPI number?

The NPI number for Wallace Devries is 1295204329. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Wallace Devries located?

Wallace Devries practices at 9009 Corporate Lake Dr, Tampa, FL 33634. The listed phone number is (763) 361-8001.

What is Wallace Devries's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wallace Devries was last updated on November 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.