JENNIFER LEECH (NPI# 1104964006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104964006 |
Entity Type | Individual |
Full Name | JENNIFER LEECH |
Credential | NP |
Practice Address |
1498 Jesse Jewell Pkwy Se Ste C Gainesville GA 30501-3874 |
Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
Practice Telephone | 7702199380 |
Mailing Telephone | 7702198420 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN172094NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922529155 | Jennifer Leech | Speech-Language Pathologist | 3260 Eagle Park Dr Ne Ste 117, Grand Rapids, MI 49525-4569 | 2017-06-28 |
Street Address |
1498 JESSE JEWELL PKWY SE STE C |
City | GAINESVILLE |
State | GA |
Zip Code | 30501-3874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295983286 | Shelley Hannon | Nurse Practitioner | 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501-3874 | 2008-09-03 |
1396943973 | Andrew Emmons Green | Obstetrics & Gynecology | 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501 | 2007-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
Find all providers in zip 30501 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316361223 | Regina Diane Chisum | Nurse Practitioner | 1902 Hospital Blvd Ste B, Gainesville, TX 76240-2008 | 2014-02-12 |
1861621385 | Deanna Sue Littell | Nurse Practitioner | 914 Nw 13th St, Gainesville, FL 32601-4140 | 2009-07-06 |
1528503422 | Amanda Nicole Mcclay | Nurse Practitioner | 7500 Iron Bar Ln, Suite 219, Gainesville, VA 20155-3603 | 2016-12-31 |
1649715780 | Susan Elizabeth Walling | Nurse Practitioner | 1290 Athens St, Gainesville, GA 30507-7000 | 2016-12-28 |
1386091841 | Angela Laxson | Nurse Practitioner | 668 Lanier Park Dr, Gainesville, GA 30501-2061 | 2016-05-15 |
1770944373 | Kathryn Martin Weeks | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-03-10 |
1427413285 | Nicky S Tomblin | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2015-12-22 |
1811372964 | Rebekah Mildenhall | Nurse Practitioner | 440 Washington St Se, Gainesville, GA 30501-3619 | 2015-07-29 |
1346688025 | Stacey Jackson Hall | Nurse Practitioner | 280 Fletcher Dr, Gainesville, FL 32611 | 2013-06-04 |
1437317617 | Gail M. Osteen | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2008-05-24 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 30501 |
Please comment or provide details below to improve the information on JENNIFER LEECH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.