JENNIFER ROSE LIECHTY NP
NPI 1295099745
Nurse Practitioner - Family in Marietta, GA

Active since June 29, 2012
111 MARBLE MILL RD NW, MARIETTA, GA 30060(770) 425-7575(770) 425-7568 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Rose Liechty Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ROSE LIECHTY NP (NPI 1295099745) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN186511) and active in the NPI registry since June 2012. She maintains a secondary practice location in Powder Springs.

NPPES Registry Identity

NPI1295099745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER ROSE LIECHTYCredential: NP
Location Address111 MARBLE MILL RD NWMarietta, GA 30060-1047
Mailing Address111 Marble Mill Rd Nw Ste 300Marietta, GA 30060-1047 · (707) 425-7575 · Fax (770) 425-7568
Fax(770) 425-7568
Sole ProprietorNo
Enumeration DateJune 29, 2012
Last NPPES UpdateJanuary 8, 2020
NPI 1295099745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN186511
111 MARBLE MILL RD NW, Marietta, GA 30060

Secondary Practice Location 1

Location 15041 Dallas Hwy Ste DPowder Springs, GA 30127-6458 · Phone (770) 425-7575

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant (Medical)
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Dermatology
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant (Medical)
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Dermatology (MOHS-Micrographic Surgery)
111 MARBLE MILL RD NW
MARIETTA, GA 30060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Liechty's NPI number?

The NPI number for Jennifer Liechty is 1295099745. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Jennifer Liechty located?

Jennifer Liechty practices at 111 Marble Mill Rd NW, Marietta, GA 30060. The listed phone number is (770) 425-7575.

What is Jennifer Liechty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Liechty was last updated on January 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.