Individual
MRS. DOMINIQUE GANIER DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
(985) 646-6460
Mailing address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
(985) 646-6460
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
210809
LA
Other
Enumeration date
01/16/2020
Last updated
09/17/2020
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