MR. JEAN LUTHER PAINSON


Address: 1016 E 81st St, Brooklyn, NY 11236-4222
Phone: 7188120236

MR. JEAN LUTHER PAINSON (NPI# 1881969251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881969251
Entity Type Individual
Full Name MR. JEAN LUTHER PAINSON
Credential NP
Practice Address 1016 E 81st St
Brooklyn
NY 11236-4222
Practice Telephone 7188120236
Mailing Telephone 7188120236
Enumeration Date 2012-03-18
Last Update Date 2016-10-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F401460 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03621116 05
NURSE PRACTITIONER LICENSE 401460 01

Office Location

Street Address 1016 E 81ST ST
City BROOKLYN
State NY
Zip Code 11236-4222

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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