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Domonique Wilson, FNP-BC

NPI 1942163654 · on the registry since 2025 · sole proprietor

Practice

Address
10549 Ontario Dr
Crown Point, IN 46307
Phone
(928) 278-0027

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana