MR. JEAN DERISSAINT LPN
NPI 1063712263
Licensed Practical Nurse in Brooklyn, NY

Q: What is Jean Derissaint's NPI number?

The NPI number for Jean Derissaint is 1063712263. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Q: What is Jean Derissaint's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Derissaint was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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 October 22, 2010

697 E 39TH ST, PH, BROOKLYN, NY 11203(718) 664-5793 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Jean Derissaint Lpn NPPES

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

MR. JEAN DERISSAINT LPN (NPI 1063712263) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (302111-1) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1063712263

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. JEAN DERISSAINTCredential: LPN

Location Address697 E 39TH ST, PHBrooklyn, NY 11203-5615

Mailing Address697 E 39th St, PhBrooklyn, NY 11203-5615 · (718) 664-5793

Phone(718) 664-5793

Sole ProprietorYes

Enumeration DateOctober 22, 2010

Last NPPES UpdateApril 7, 2011

✔ NPI 1063712263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 302111-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

697 E 39TH ST, Brooklyn, NY 11203

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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 Jean Derissaint's NPI number?

The NPI number for Jean Derissaint is 1063712263. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Where is Jean Derissaint located?

Jean Derissaint practices at 697 E 39th St Ph, Brooklyn, NY 11203. The listed phone number is (718) 664-5793.

What is Jean Derissaint's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jean Derissaint was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.