DOMONIQUE JORDAN

GRAND PRAIRIE, TX
NPI1497596118
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  2023194429)
Enumeration Date2024-06-05
Last Update Date2024-07-12
Business Address
DOMONIQUE JORDAN APRN, PMHNP-BC
115 E MAIN ST # 1030
GRAND PRAIRIE, TX 75050-5722
Phone number: 469-616-0232
Mailing Address
DOMONIQUE JORDAN APRN, PMHNP-BC
2627 HARLOW LN
GRAND PRAIRIE, TX 75052-8930
Phone number:
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