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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720663701

Domonique Louis, PMHNP-BC is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2021, 5 years ago. Licensed in California, Iowa, New Mexico and Pennsylvania and 3 more.

Years since qualifying
5
Licensed in
CA, IA, NM, PA, TN, TX
In the registry since
2021
Specialties on file
7
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2502 Mount Moriah Rd Ste A101
Memphis, TN 38115-1539
Phone: (800) 892-2695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 29321 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence G166642 (IA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 64857 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95019437 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61249213 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP026176 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 104470 (TX)

Record details

NPI number1720663701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 11, 2021
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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