# DOMONIQUE LOUIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720663701
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 104470 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 29321 | TN | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 64857 | NM | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95019437 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61249213 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | G166642 | IA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP026176 | PA | — |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 02/05/2025