Individual
DOMINIQUE SHANICIA GRISBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
201 RUE BEAUREGARD STE 202, LAFAYETTE, LA 70508-3251
(713) 850-0049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
237531
LA
Other
Enumeration date
08/27/2024
Last updated
04/28/2026
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