Individual provider · Type 1 NPI
Domonique Jordan, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Grand Prairie, TX
NPI number
1497596118
Active
Practice location
3510 S Highway 161 Ste 130
Grand Prairie, TX 75052-7953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2023194429 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1497596118
Domonique Jordan, APRN, PMHNP-BC's National Provider Identifier is 1497596118, issued on Jun 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 11, 2026.