DOMINQUE WILSON
NPI 1700759966
Registered Nurse in Dearborn Heights, MI

Q: What is Dominque Wilson's NPI number?

The NPI number for Dominque Wilson is 1700759966. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Q: What is Dominque Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominque Wilson was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 September 24, 2025

25639 FORD RD, DEARBORN HEIGHTS, MI 48127(313) 277-3293(313) 277-0917 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dominque Wilson NPPES

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

DOMINQUE WILSON (NPI 1700759966) is an individual registered nurse in Dearborn Heights, Michigan, licensed in Michigan (4704360018) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1700759966

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameDOMINQUE WILSON

Location Address25639 FORD RDDearborn Heights, MI 48127-4817

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (602) 248-8999

Phone(313) 277-3293

Fax(313) 277-0917

Sole ProprietorYes

Enumeration DateSeptember 24, 2025

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1700759966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MI · 4704360018

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

25639 FORD RD, Dearborn Heights, MI 48127

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Other Providers at the Same Location NPPES 12

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

HARPREET KAUR GREWAL

Nurse Practitioner (Family)