Provider Demographics
NPI:1386971265
Name:VILSAINT, JEANNE ETIENNE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:ETIENNE
Last Name:VILSAINT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:E
Other - Last Name:VILSAINT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1695 REMSEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5233
Mailing Address - Country:US
Mailing Address - Phone:917-230-3094
Mailing Address - Fax:718-287-4300
Practice Address - Street 1:1163 E 102ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4439
Practice Address - Country:US
Practice Address - Phone:917-239-3094
Practice Address - Fax:718-287-4600
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily