Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA LYN CHAN, APRN
Active Sole ProprietorMRS. JESSICA LYN CHAN, APRN is a Pediatric Nurse Practitioner healthcare provider located in NEW LONDON, Connecticut. NPI 1174937114 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · NEW LONDON, CT
Registration Details
- NPI Number
- 1174937114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2014 (12.118784721147 yrs)
- Last Updated
- Sep 10, 2018
- Licenses
-
5804 (CT)94495 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
74 GROVE STNEW LONDON, CT, 063206515Browse CT providers · Browse ZIP 06320
- Phone
- 8604476070
- Fax
- 8604436616
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse
Other Pediatric Nurse Practitioner Providers in NEW LONDON, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNA HAZEL GODDARD | APRN, CPNP-PC | 1720194939 |
| ANNE RAVENSCROFT | NP | 1457467177 |
| MARY LOUISE ROBBENHAAR-FRETZ | APRN, CPNP | 1508951799 |
| MR. MARK B ROBEL | CPNP | 1861511560 |
| ANDREW KONESKY | APRN | 1598179640 |
| LISA WRUBEL | APRN | 1548875776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.