Individual
JEAN LUTHER PAINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 E 81ST ST, BROOKLYN, NY 11236-4222
(717) 716-7107
Mailing address
1016 E 81ST ST, BROOKLYN, NY 11236-4222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03621116
—
NY
01
—
401460
NURSE PRACTITIONER LICENSE
—
Enumeration date
03/18/2012
Last updated
03/09/2026
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