Individual provider · Type 1 NPI
Dominique Holmes, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Oakbrook Terrace, IL
NPI number
1427668151
Active
Practice location
1 S. 376 Summit Ave Court D
Oakbrook Terrace, IL 60181
Mailing address
7758 S Peoria St Apt 2
Chicago, IL 60620-2824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041460162 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209024564 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1427668151
Dominique Holmes, PMHNP's National Provider Identifier is 1427668151, issued on Aug 6, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oakbrook Terrace, IL. The record was last updated on Jul 19, 2022.