Individual
TAMMY DEVINCENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4850 UNION AVE, SAN JOSE, CA 95124-5156
(800) 913-2615
(408) 559-3158
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 287-6200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17953
CA
363LP2300X
Primary Care Nurse Practitioner
17593
CA
Other
Enumeration date
08/13/2008
Last updated
07/18/2025
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