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

Wallace Jerome Devries Jr., FNP-C

Individual provider Family Nurse Practitioner · NPI 1295204329

Wallace Jerome Devries Jr., FNP-C is a Family Nurse Practitioner in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

9009 Corporate Lake Dr
Tampa, FL 33634-2367
Phone: (763) 361-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11000148 (FL)

Record details

NPI number1295204329
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 19, 2018
Last updated in NPPESNovember 19, 2018

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