Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMONIQUE JORDAN APRN, PMHNP-BC
NPI 1497596118
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Q: What is Domonique Jordan's NPI number?

The NPI number for Domonique Jordan is 1497596118. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Q: What is Domonique Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Domonique Jordan was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2024

3510 S HIGHWAY 161 STE 130, GRAND PRAIRIE, TX 75052(469) 616-0232 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2026, Jul 12, 2024, Jun 5, 2024 (3 updates tracked since 2024).

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About Domonique Jordan Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMONIQUE JORDAN APRN, PMHNP-BC (NPI 1497596118) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (2023194429) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1497596118

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDOMONIQUE JORDANCredential: APRN, PMHNP-BC

Location Address3510 S HIGHWAY 161 STE 130Grand Prairie, TX 75052-7953

Mailing Address3510 S Highway 161 Ste 130Grand Prairie, TX 75052-7953

Phone(469) 616-0232

Sole ProprietorYes

Enumeration DateJune 5, 2024

Last NPPES UpdateOctober 11, 20263 updates tracked since enumeration

NPPES CertifiedOctober 11, 2026

✔ NPI 1497596118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 2023194429

3510 S HIGHWAY 161 STE 130, Grand Prairie, TX 75052

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEAK PHYSICAL THERAPY, LLC

Physical Therapist

3510 S HIGHWAY 161 STE 130
GRAND PRAIRIE, TX 75052

Dallas County (945) 327-5922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Domonique Jordan's NPI number?

The NPI number for Domonique Jordan is 1497596118. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Domonique Jordan located?

Domonique Jordan practices at 3510 S Highway 161 Ste 130, Grand Prairie, TX 75052. The listed phone number is (469) 616-0232.

What is Domonique Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Domonique Jordan was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.