Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Leech, NP

Individual provider Women's Health Nurse Practitioner · NPI 1104964006

Jennifer Leech, NP is a Nurse Practitioner in Lawrenceville, Georgia. Graduated from Vanderbilt University School of Medicine in 2004, 22 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Trained at
Vanderbilt University School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

771 Old Norcross Rd
Lawrenceville, GA 30046-4386
Phone: (678) 442-3121
Fax: (678) 376-4045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501-3874 — (770) 219-9380

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence RN172094NP (GA)

Record details

NPI number1104964006
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address771 Old Norcross Rd, Lawrenceville, GA 30046-4386

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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