Van Rye, Jessica Hanlon

Van Rye, Jessica Hanlon is an individual health care provider with primary practice located at 400 Bayonet St Ste 206 , New London CT 06320-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Van Rye, Jessica Hanlon can be contacted via phone (860) 895-8195.

Contact Information

Primary practice address
400 Bayonet St Ste 206 New London CT 06320-2633
Fax: (860) 892-8223
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002779 Connecticut

Profile Details

NPI number 1346208881
LBN Legal business name Van Rye, Jessica Hanlon
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346208881 NPPES
Connecticut Other 400002779CT01 ANTHEM BLUE CROSS
Connecticut MEDICAID 004229276 ANTHEM BLUE CROSS

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