Domonique S Wilson, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Washington, PA. Individual provider (NPI-1).
NPI number1124893151
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1124893151
- Entity type
- Individual (NPI-1)
- Name
- Domonique S Wilson
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2023
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP029678 | PA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRNCNP0035421 | OH |
Practice location
3000 Park Place Dr Ste 108Washington, PA 15301-2068
Phone 724-374-3468 · Fax 724-258-8914
Mailing address
230 N Craig St Ste BPittsburgh, PA 15213-1569
Phone 610-892-3800
Other practice locations
15613 Pineview Dr Ste C
East Liverpool, OH 43920-9096
East Liverpool, OH 43920-9096
Phone 330-932-1594
230 N Craig St Ste B
Pittsburgh, PA 15213-1569
Pittsburgh, PA 15213-1569
Phone 610-892-3800
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