Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Shanicia Grisby, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417781030

Dominique Shanicia Grisby, PMHNP is a Nurse Practitioner in Monroe, Louisiana. Qualified in 2024, 2 years ago. Practices with Homer Memorial Hospital, a 22-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

622 Riverside Dr
Monroe, LA 71201-6211
Phone: (318) 398-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 104 Morris Cir, Homer, LA 71040-2109 — (318) 927-6777
  • 201 Rue Beauregard Ste 202, Lafayette, LA 70508-3251 — (713) 850-0049

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 237531 (LA)

Record details

NPI number1417781030
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Homer Memorial Hospital — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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