Domonique Shantel Wilson, PMHNP-BC is a psychiatric/mental health nurse practitioner in East Liverpool, OH. Domonique Shantel Wilson, PMHNP-BC NPI is 1124893151. 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:
15613 PINEVIEW DR STE C
EAST LIVERPOOL, OH
ZIP 43920-096
Phone: (330) 932-1594
The NPI 1124893151 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 11/20/2023 and was last updated on 11/20/2023.