Individual
DOMONIQUE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2502 MOUNT MORIAH RD STE A101, MEMPHIS, TN 38115-1539
(800) 892-2695
Mailing address
8 THE GRN STE 4000, DOVER, DE 19901-3618
(844) 869-4625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
104470
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29321
TN
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
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