DOMONIQUE LOUIS PMHNP-BC NPI 1720663701

NPI Information

  • NPI: 1720663701
  • Provider Name: DOMONIQUE LOUIS, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2502 MOUNT MORIAH RD STE A101
    MEMPHIS, TN
    ZIP 38115
  • Phone: (800) 892-2695

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NPI Details

Domonique Louis, PMHNP-BC is a psychiatric/mental health nurse practitioner in Memphis, TN. Domonique Louis, PMHNP-BC NPI is 1720663701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2502 MOUNT MORIAH RD STE A101
MEMPHIS, TN
ZIP 38115-539
Phone: (800) 892-2695

The NPI 1720663701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2021 and was last updated on 2/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthG166642IOWANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health64857NEW MEXICONo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95019437CALIFORNIANo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61249213WASHINGTONNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthSP026176PENNSYLVANIANo
6363LP0808XNurse PractitionerPsychiatric/Mental Health104470TEXASNo
7363LP0808XNurse PractitionerPsychiatric/Mental Health29321TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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