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Jennifer Rose Liechty, NP
Family Nurse Practitioner in Marietta, Georgia
NPI 1295099745

Jennifer Rose Liechty is a Family Nurse Practitioner based in Marietta, GA and is specialized in Family. Jennifer Rose Liechty practices in Marietta, GA and has the professional credentials of NP. The NPI Number for Jennifer Rose Liechty is 1295099745 and holds a License No. RN186511 (Georgia).

The current practice location address for Jennifer Rose Liechty is 111 Marble Mill Rd Nw, Marietta, GA and can be reached out via phone at 770-425-7575 and via fax at 770-425-7568.

Location: 111 Marble Mill Rd Nw, Marietta, GA, 30060-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295099745
Provider Name
Jennifer Rose Liechty
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
111 Marble Mill Rd Nw, Marietta, GA, 30060-1047
Phone Number
770-425-7575
Fax Number
770-425-7568
Provider Enumeration Date
06/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Marble Mill Rd Nw
City
Marietta
State
Georgia
Zip
30060-1047
Phone Number
770-425-7575
Fax Number
770-425-7568
person
Provider Business Mailing Address Details
Address
111 Marble Mill Rd Nw
City
Marietta
State
Georgia
Zip
30060-1047
Phone Number
770-425-7575
Fax Number
770-425-7568
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN186511 (Georgia)
Definition
Definition to come...
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