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 Not confirmed with CMS for 17 years — call before visiting
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

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