Individual
JESSICA HANLON VAN RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 BAYONET ST STE 206, NEW LONDON, CT 06320-2633
(860) 895-8195
(860) 892-8223
Mailing address
88 NORWICH NEW LONDON TPKE # PC, SUITE 1, UNCASVILLE, CT 06382-2518
(860) 848-9157
(860) 848-3471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002779
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004229276
—
CT
01
—
400002779CT01
ANTHEM BLUE CROSS
CT
Enumeration date
05/03/2006
Last updated
05/10/2026
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