WALLACE JEROME JR. DEVRIES (FNP-C) – Family Nurse Practitioner, NPI 1295204329

WALLACE JEROME JR. DEVRIES (FNP-C) is a healthcare provider. based in Hawthorne, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 11000148 (FL). The NPI Number for WALLACE JEROME JR. DEVRIES (FNP-C) is 1295204329

Main info

Male
Name
WALLACE JEROME JR. DEVRIES (FNP-C)
NPI
1295204329
Phone
(435) 849-6896
Address
118 E COWPEN LAKE POINT RD
Enumeration Date
19 November 2018
Last Update Date
19 November 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for WALLACE JEROME JR. DEVRIES (FNP-C)

  • 118 E COWPEN LAKE POINT RD

    HAWTHORNE, FL 326405702

    Phone: (435) 849-6896

    Fax: (435) 579-4007

    Type: Mailing

  • 9009, Corporate Lake Drive, Hillsborough County, Florida, 33634, United States

    TAMPA, FL 336342367

    Phone: (763) 361-8001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32640)

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Reviews

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Frequently asked questions

How do I look up WALLACE JEROME JR. DEVRIES (FNP-C) by NPI?
Use NPI 1295204329 when you need to reference WALLACE JEROME JR. DEVRIES (FNP-C) in forms, claims, or directories.
Does this profile mean WALLACE JEROME JR. DEVRIES (FNP-C) is currently active?
Yes — WALLACE JEROME JR. DEVRIES (FNP-C) appears active in the national provider directory.
Can you summarize WALLACE JEROME JR. DEVRIES (FNP-C)'s specialty in plain language?
Clinically, the directory lists WALLACE JEROME JR. DEVRIES (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is WALLACE JEROME JR. DEVRIES (FNP-C)'s primary listing?
We display Hawthorne, Florida because that is what the record indicates for WALLACE JEROME JR. DEVRIES (FNP-C).
How can I contact WALLACE JEROME JR. DEVRIES (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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