Wallace Jerome Devries Jr.

FNP-C | Nurse Practitioner - Family

9009 Corporate Lake Dr, Tampa
  Florida, 33634-2367
763-361-8001
May or may not accept Medicare Nurse Anesthetist in Tampa, Florida.
Wallace Jerome Devries Jr. is a Tampa, Florida based nurse practitioner who is specialized as Family nurse. Active license number of Wallace Jerome Devries Jr. is 11000148 for Family in Florida. His current practice location is 9009 Corporate Lake Dr, Tampa. Patients can reach him at 763-361-8001. Wallace Jerome Devries Jr. is FNP-C with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1295204329.
Wallace Jerome Devries Jr. delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Wallace Jerome Devries Jr. speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Wallace Jerome Devries Jr.
Specialization: Family Nurse Practitioner (FNP)
Gender:Male
Credentials: FNP-C
Practice Address:9009 Corporate Lake Dr, Tampa,
Florida, 33634-2367
Phone:763-361-8001
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1295204329
NPI Enumeration Date: 19 Nov, 2018
NPI Last Update On: 19 Nov, 2018

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallace Jerome Devries Jr. are as mentioned below.
License NumberSpecializationStateStatus
11000148Family FloridaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Wallace Jerome Devries Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
11000148OtherFloridaAPRN LICENCE NUMBER
1912199415OtherGROUP NPI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Wallace Jerome Devries Jr.
118 E Cowpen Lake Point Rd,
Hawthorne, Florida
Zip: 32640-5702
Phone Number: 435-849-6896
Fax Number: 435-579-4007
Patients can reach Wallace Jerome Devries Jr. at 9009 Corporate Lake Dr, Tampa, Florida or can call to book an appointment on 763-361-8001.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.