JESSICA LEACH
NPI 1962056721
Nurse Practitioner - Family in Canton, GA

Active since July 30, 2019
6120 HICKORY FLAT HWY, CANTON, GA 30115(770) 720-0610 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Leach NPPES

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

JESSICA LEACH (NPI 1962056721) is an individual family provider in Canton, Georgia, licensed in Georgia (RN245676) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1962056721
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA LEACH
Location Address6120 HICKORY FLAT HWYCanton, GA 30115-7252
Mailing Address6120 Hickory Flat HwyCanton, GA 30115-7252
Sole ProprietorNo
Enumeration DateJuly 30, 2019
NPI 1962056721 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 · RN245676
6120 HICKORY FLAT HWY, Canton, GA 30115

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Pharmacy
6120 HICKORY FLAT HWY
CANTON, GA 30115
Pharmacist
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Pharmacist
6120 HICKORY FLAT HWY
CANTON, GA 30115

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 Jessica Leach's NPI number?

The NPI number for Jessica Leach is 1962056721. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Jessica Leach located?

Jessica Leach practices at 6120 Hickory Flat Hwy, Canton, GA 30115. The listed phone number is (770) 720-0610.

What is Jessica Leach'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 Jessica Leach was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.