Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Debra Ann Wallace

Individual provider Attendant Care Provider · NPI 1912149188

Mrs. Debra Ann Wallace is an Attendant Care Provider in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
4
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Practice location Address checks out

5608 Kenny Dr
Tampa, FL 33617-7711
Phone: (813) 546-4884
Fax: (813) 983-1860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence CNA 54979 (FL)
Attendant Care Provider Taxonomy 3747A0650X · Licence 684206296 (FL)
Personal Care Attendant Taxonomy 3747P1801X · Licence 684206296 (FL)
Adult Companion Taxonomy 372600000X · Licence 684206296 (FL)

Record details

NPI number1912149188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2009
Last updated in NPPESApril 2, 2009
Mailing address5608 Kenny Dr, Tampa, FL 33617-7711

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