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

Dominque Wilson

Individual provider Registered Nurse · NPI 1700759966

Dominque Wilson is a Registered Nurse in Dearborn Heights, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

25639 Ford Rd
Dearborn Heights, MI 48127-4817
Phone: (313) 277-3293
Fax: (313) 277-0917
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704360018 (MI)

Record details

NPI number1700759966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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