Individual provider · Type 1 NPI
Domonique S. Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Washington, PA
NPI number
1124893151
Active
Practice location
3000 Park Place Dr Ste 108
Washington, PA 15301-2068
Fax (724) 258-8914
Mailing address
230 N Craig St Ste B
Pittsburgh, PA 15213-1569
Other practice locations
- 15613 Pineview Dr Ste C, East Liverpool, OH 43920-9096 · (330) 932-1594
- 230 N Craig St Ste B, Pittsburgh, PA 15213-1569 · (610) 892-3800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRNCNP0035421 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP029678 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124893151
Domonique S. Wilson, PMHNP-BC's National Provider Identifier is 1124893151, issued on Nov 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, PA. The record was last updated on Jul 25, 2025.