Wilson, Domonique Shantel

Wilson, Domonique Shantel is an individual health care provider with primary practice located at 15613 Pineview Dr Ste C , East Liverpool OH 43920-9096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilson, Domonique Shantel can be contacted via phone (330) 932-1594.

Contact Information

Primary practice address
15613 Pineview Dr Ste C East Liverpool OH 43920-9096
Phone: (330) 932-1594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRNCNP0035421 Ohio

Profile Details

NPI number 1124893151
LBN Legal business name Wilson, Domonique Shantel
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2023
Last updated Nov 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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