person
Mrs. Jessica Lyn Chan, APRN
Pediatric Registered Nurse in New London, Connecticut
NPI 1174937114

Jessica Lyn Chan is a Pediatric Registered Nurse based in North Branford, CT and is specialized in Pediatrics. Jessica Lyn Chan practices in New London, CT and has the professional credentials of APRN. The NPI Number for Jessica Lyn Chan is 1174937114 and holds a License No. 5804 (Connecticut).

The current practice location address for Jessica Lyn Chan is 74 Grove St, New London, CT and can be reached out via phone at 860-447-6070 and via fax at 860-443-6616.

Location: 74 Grove St, New London, CT, 06471
person
Provider Profile Details
NPI Number
1174937114
Provider Name
Jessica Lyn Chan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
74 Grove St, New London, CT, 06471
Phone Number
860-447-6070
Fax Number
860-443-6616
Provider Enumeration Date
06/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008054046 05 CT
institution
Provider Business Practice Location Address Details
Address
74 Grove St
City
State
Zip
06320-6515
Phone Number
860-447-6070
Fax Number
860-443-6616
person
Provider Business Mailing Address Details
Address
74 Grove St
City
State
Zip
06320-6515
Phone Number
860-447-6070
Fax Number
860-443-6616
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
94495 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
5804 (Connecticut)
Definition
Definition to come...
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