Lookup NPI Numbers from the NPI Registry
NPI Profile for JESSICA L CHAN in NEW LONDON, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI # | 1174937114 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/18/2014 | |
| Last updated | 09/10/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSICA L CHAN
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JESSICA L CHAN, APRN